Pooya Jahanshahi
Dermatologist
593 Eddy St
Providence
, Rhode Island 02903-4923
Pooya Jahanshahi
Dermatologist
593 Eddy St
Providence
, Rhode Island 02903-4923
(401) 444-7139
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Pooya Jahanshahi
- 593 Eddy St
- Providence, RI
- Zip : 02903-4923
- Phone : (401) 444-7139
Second Address
- Pooya Jahanshahi
- 593 Eddy St
- Providence, RI
- Zip : 02903-4923
- Phone : (401) 444-7139
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | LP03163 | RI |
National Provider Identifier
| NPI | 1013356567 |
|---|---|
| Provider Name | Pooya Jahanshahi |
| First Address | Providence, RI 02903-4923 |
| Second Address | Providence, RI 02903-4923 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2013 |
| Last Update Date | 29/11/2021 |
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.