SHAGHAYEGH KHAYAMBASHI MD NPI 1750661526

NPI Information

Shaghayegh Khayambashi, MD is a student in an organized health care education training program in Indianapolis, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Shaghayegh Khayambashi, MD NPI is 1750661526. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

541 CLINICAL DR RM CL370
INDIANAPOLIS, IN
ZIP 46202-233
Phone: (317) 274-7177
Fax: (317) 274-7792

The NPI 1750661526 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 6/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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