Pahlavan, Payam S
Pahlavan, Payam S is an sole proprietor health care provider with primary practice located at 7950 W Jefferson Blvd , Fort Wayne IN 46804-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pahlavan, Payam S can be contacted via phone (615) 221-4400.Contact Information
Primary practice address
7950 W Jefferson Blvd
Fort Wayne IN 46804-4140
Phone: (615) 221-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 2019-00638 | North Carolina |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 01085854A | Indiana |
Profile Details
| NPI number | 1467988386 |
|---|---|
| LBN Legal business name | Pahlavan, Payam S |
| Credentials | MD, MSC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2017 |
| Last updated | Sep 14th, 2022 - about 4 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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