Ganjian, Shahrokh
Ganjian, Shahrokh is an individual health care provider with primary practice located at 9737 63Rd Dr Ste 1K, Rego Park NY 11374-2229. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ganjian, Shahrokh can be contacted via phone (718) 897-8900.Contact Information
Primary practice address
9737 63Rd Dr Ste 1K
Rego Park NY 11374-2229
Phone: (718) 897-8900
Fax: (718) 897-6363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 041801 | New York |
Profile Details
| NPI number | 1427049907 |
|---|---|
| LBN Legal business name | Ganjian, Shahrokh |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427049907 | NPPES |
| New York | MEDICAID | 01191097 |
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