Healthcare Provider Details

I. General information

NPI: 1053747881
Provider Name (Legal Business Name): PARINAZ SHAMS M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2013
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 HAWKINS DR DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES
IOWA CITY IA
52242-1009
US

IV. Provider business mailing address

221 E COLLEGE ST APT 803
IOWA CITY IA
52240-1699
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-2590
  • Fax: 319-356-0363
Mailing address:
  • Phone: 319-400-9995
  • Fax: 319-256-0363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberR9879
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: