Shafa, Justin
Shafa, Justin is an individual health care provider with primary practice located at 1400 Pelham Pkwy S Building 1, 4Th Floor Room 4N69, Bronx NY 10461. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Shafa, Justin can be contacted via phone (718) 918-3612.Contact Information
Primary practice address
1400 Pelham Pkwy S Building 1, 4Th Floor Room 4N69
Bronx NY 10461
Phone: (718) 918-3612
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | A172154 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A172154 | California |
Profile Details
| NPI number | 1447612981 |
|---|---|
| LBN Legal business name | Shafa, Justin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2016 |
| Last updated | Jul 22nd, 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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