Shayzreen M Roshanravan
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
4700 Dexter Dr Ste 400
Plano
, Texas 75093-5299
Shayzreen M Roshanravan
Obstetrician & Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
4700 Dexter Dr Ste 400
Plano
, Texas 75093-5299
(972) 596-3242
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Shayzreen M Roshanravan
- 4700 Dexter Dr Ste 400
- Plano, TX
- Zip : 75093-5299
- Phone : (972) 596-3242
Second Address
- Shayzreen M Roshanravan
- 4700 Dexter Dr Ste 400
- Plano, TX
- Zip : 75093-5299
- Phone : (972) 596-3242
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Is Shayzreen M Roshanravan a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | M4490 | TX |
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | M4490 | TX |
National Provider Identifier
| NPI | 1861502627 |
|---|---|
| Provider Name | Shayzreen M Roshanravan |
| First Address | Plano, TX 75093-5299 |
| Second Address | Plano, TX 75093-5299 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 17/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 184522405 | (05) | TX |
| 184522407 | (05) | TX |
| 184522408 | (05) | TX |
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.