Shanehsaz, Piam

Shanehsaz, Piam is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Shanehsaz, Piam can be contacted via phone (937) 395-6665.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 395-6665
Fax: (937) 395-6668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35.096488 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44158 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.096488 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 44158 Kentucky

Profile Details

NPI number 1538312228
LBN Legal business name Shanehsaz, Piam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2008
Last updated May 5th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538312228 NPPES
Kentucky MEDICAID 7100174450
Kentucky MEDICAID 0054670

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