Moazami, Shohreh
Moazami, Shohreh is an sole proprietor health care provider with primary practice located at 2545 Capital Ave Sw Suite 201, Battle Creek MI 49015-7120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moazami, Shohreh can be contacted via phone (269) 969-8723.Contact Information
Primary practice address
2545 Capital Ave Sw Suite 201
Battle Creek MI 49015-7120
Phone: (269) 969-8723
Fax: (269) 969-8724
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301062801 | Michigan |
Profile Details
| NPI number | 1639179146 |
|---|---|
| LBN Legal business name | Moazami, Shohreh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 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 | 1639179146 | NPPES |
| Michigan | Other | 5922108 | AETNA |
| Michigan | Other | 00994 | AETNA |
| Michigan | Other | 3501310791 | AETNA |
| Michigan | Other | 12-31350 | AETNA |
| Michigan | Other | 147687 | AETNA |
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