Shafiei, Fereidoon
Shafiei, Fereidoon is an individual health care provider with primary practice located at 2050 Meadowview Pkwy , Kingsport TN 37660-7475. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Shafiei, Fereidoon can be contacted via phone (423) 230-5000.Contact Information
Primary practice address
2050 Meadowview Pkwy
Kingsport TN 37660-7475
Phone: (423) 230-5000
Fax: (423) 224-5035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 54753 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36824 | Arizona |
Profile Details
| NPI number | 1740493113 |
|---|---|
| LBN Legal business name | Shafiei, Fereidoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jan 21st, 2020 - about 6 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 | 1740493113 | NPPES |
| Arizona | MEDICAID | 231558 |
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