Khorsandzadeh, Shayan
Khorsandzadeh, Shayan is an sole proprietor health care provider with primary practice located at 14502 W Meeker Blvd , Sun City West AZ 85375-5282. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Khorsandzadeh, Shayan can be contacted via phone (623) 524-8814.Contact Information
Primary practice address
14502 W Meeker Blvd
Sun City West AZ 85375-5282
Phone: (623) 524-8814
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 59792 | Arizona |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 90511 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 59792 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 90511 | Georgia |
Profile Details
| NPI number | 1912430562 |
|---|---|
| LBN Legal business name | Khorsandzadeh, Shayan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2017 |
| Last updated | Dec 29th, 2021 - about 5 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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