Yazdanfar, Shahriar

Yazdanfar, Shahriar is an individual health care provider with primary practice located at 5401 Old York Rd Klein 404, Philadelphia PA 19141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Yazdanfar, Shahriar can be contacted via phone (215) 456-7266.

Contact Information

Primary practice address
5401 Old York Rd Klein 404 Philadelphia PA 19141
Fax: (215) 455-1933
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD034478L Pennsylvania

Profile Details

NPI number 1013972736
LBN Legal business name Yazdanfar, Shahriar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Aug 21st, 2013 - about 12 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 1013972736 NPPES
Pennsylvania MEDICAID 000695366

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