Shahbodaghi, Siavash David

Shahbodaghi, Siavash David is an individual health care provider with primary practice located at 300 East Hospital Road Dwight David Eisenhower Army Medical Center, Fort Gordon GA 30905-5650. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shahbodaghi, Siavash David can be contacted via phone (706) 787-9281.

Contact Information

Primary practice address
300 East Hospital Road Dwight David Eisenhower Army Medical Center Fort Gordon GA 30905-5650
Phone: (706) 787-9281
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27258 West Virginia

Profile Details

NPI number 1174904981
LBN Legal business name Shahbodaghi, Siavash David
Credentials MD/MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2015
Last updated Oct 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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