Shirazi, Reza

Shirazi, Reza is an individual health care provider with primary practice located at 3366 5Th Ave , San Diego CA 92103-5713. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Shirazi, Reza can be contacted via phone (619) 230-0400.

Contact Information

Primary practice address
3366 5Th Ave San Diego CA 92103-5713
Phone: (619) 230-0400
Fax: (858) 429-7936
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A95800 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A95800 California

Profile Details

NPI number 1336175272
LBN Legal business name Shirazi, Reza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336175272 NPPES
California Other 11621447 CAQH ID
California MEDICAID 00A958000 CAQH ID
California Other A95800 CAQH ID
California Other 87929 CAQH ID

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