Dr. Mehrdad Shafa
Pediatric Emergency Physician
1919 E Thomas Rd Department Of Emergency Medicine
Phoenix
, Arizona 85016-7710
Dr. Mehrdad Shafa
Pediatric Emergency Physician
1919 E Thomas Rd Department Of Emergency Medicine
Phoenix
, Arizona 85016-7710
(602) 546-1900
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Mehrdad Shafa
- 1919 E Thomas Rd Department Of Emergency Medicine
- Phoenix, AZ
- Zip : 85016-7710
- Phone : (602) 546-1900
Second Address
- Dr. Mehrdad Shafa
- 1919 E Thomas Rd Department Of Emergency Medicine
- Phoenix, AZ
- Zip : 85016-7710
- Phone : (602) 546-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 29768 | AZ |
National Provider Identifier
| NPI | 1750387171 |
|---|---|
| Provider Name | Dr. Mehrdad Shafa |
| First Address | Phoenix, AZ 85016-7710 |
| Second Address | Phoenix, AZ 85016-7710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A78941 | (02) | AZ |
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.