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Shahriar Bozorgzadeh, MD
Family Medicine Physician in Carbondale, Illinois
NPI 1194726851

Shahriar Bozorgzadeh is a Family Medicine Physician based in Indianapolis, IL. Shahriar Bozorgzadeh practices in Carbondale, IL and has the professional credentials of MD. The NPI Number for Shahriar Bozorgzadeh is 1194726851 and holds a License No. 036-096984 (Illinois).

The current practice location address for Shahriar Bozorgzadeh is 405 W Jackson St, Carbondale, IL and can be reached out via phone at 618-549-0721 and via fax at 618-457-0469. You can also correspond with Shahriar Bozorgzadeh through the mailing address at PO BOX 1467, INDIANAPOLIS, IN - 46206-1467 (mailing address contact number: 618-457-5200).

Location: 405 W Jackson St, Carbondale, IL, 46206-1467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194726851
Provider Name
Shahriar Bozorgzadeh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
405 W Jackson St, Carbondale, IL, 46206-1467
Phone Number
618-549-0721
Fax Number
618-457-0469
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3932056 01 IL BLUE SHIELD
0360096984 05 IL
036096984 05 IL
institution
Provider Business Practice Location Address Details
Address
405 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1462
Phone Number
618-549-0721
Fax Number
618-457-0469
person
Provider Business Mailing Address Details
Address
405 W Jackson St
City
Carbondale
State
Illinois
Zip
62901-1462
Phone Number
618-549-0721
Fax Number
618-457-0469
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
36096984 (Illinois)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036-096984 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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