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NPI Code Detail

MEDICARE: DR. VARAHRAM MEHRABAN SHAHRIARI

MEDICARE:  DR. VARAHRAM  MEHRABAN SHAHRIARI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN24429FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952954778
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VARAHRAM MEHRABAN SHAHRIARI
Provider Business Mailing Address
First Line : 320 QUAIL FOREST BLVD APT 406
Second Line :
City : NAPLES
State : FL
Zip : 34105-5520
Country : US
Telephone Number : 669-888-6146
Fax Number :
Provider Business Practice Location Address
First Line : 4280 TAMIAMI TRL E STE 201
Second Line :
City : NAPLES
State : FL
Zip : 34112-6701
Country : US
Telephone Number : 239-300-2398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2019
Last Update Date : 07/21/2019

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Directions to “ DR. VARAHRAM MEHRABAN SHAHRIARI ” Practice Location

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