Mojtabai, Shaparak

Mojtabai, Shaparak is an sole proprietor health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Mojtabai, Shaparak can be contacted via phone (908) 273-4300.

Contact Information

Primary practice address
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104
Phone: (908) 273-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 183971 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MA05607100 New Jersey

Profile Details

NPI number 1790968808
LBN Legal business name Mojtabai, Shaparak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2007
Last updated Oct 21st, 2015 - about 11 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 1790968808 NPPES
New York MEDICAID 01208277

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