Dr. Iraj Shafagh
Prosthodontist
1305 West Chester Pike Suite C
Havertown
, Pennsylvania 19083-2935
Dr. Iraj Shafagh
Prosthodontist
1305 West Chester Pike Suite C
Havertown
, Pennsylvania 19083-2935
(610) 446-6844
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Iraj Shafagh
- 1305 W Chester Pike
- Havertown, PA
- Zip : 19083-2929
- Fax : (610) 446-6844
- Phone : (610) 446-6688
Second Address
- Dr. Iraj Shafagh
- 1305 West Chester Pike Suite C
- Havertown, PA
- Zip : 19083-2935
- Fax : (610) 446-6844
- Phone : (610) 446-6688
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | DS-019264-L | PA |
National Provider Identifier
| NPI | 1043436579 |
|---|---|
| Provider Name | Dr. Iraj Shafagh |
| First Address | Havertown, PA 19083-2929 |
| Second Address | Havertown, PA 19083-2935 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.