Organization

Shahrooz Dermatology Center Pc

Dermatology Physician in Indianapolis, IN(View on Map)

Legal Business Name

Shahrooz Dermatology Center Pc

NPI Number

1770614604

NPI Type

Organization

Enumeration Date

03/09/2007

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01036322A

Contact
Information

Purpose

Mailing
Location

Address

8051 S EMERSON AVE
8051 S EMERSON AVE

City

Indianapolis
Indianapolis

State

IN
IN

Postal Code

46237-8600
46237-8600

Country

US
US

Telephone Number

(317) 859-9859
(317) 859-9859

Authorized Official

Name

Dr. Nahid Shahrooz

Title or Position

OWNER

Telephone Number

(317) 859-9859

Identifiers

Identifier

000000356359
1649272097

Identifier State

IN
IN

Identifier Issuer

ANTHEM PIN
PHYSICIAN NPI

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/11/2011

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