- Practice location
- 5220 NE 122ND Avenue, Portland, OR 97230
- Phone
- 503-306-1023
- Fax
- —
- Last updated
- June 30, 2017
Shadab Nasreen Aijazi is a Pathology, Anatomic Pathology & Clinical Pathology based in Portland, OR. Shadab Nasreen Aijazi practices in Portland, OR and has the professional credentials of MD. The NPI Number for Shadab Nasreen Aijazi is 1447771316 and holds a License No. C130153 (CA). The current practice location address for Shadab Nasreen Aijazi is 5220 NE 122ND Avenue, Portland, OR 97230 and can be reached out via phone at 503-306-1023.
Provider Profile Details
- NPI Number
- 1447771316
- Provider Name
- Shadab Nasreen Aijazi
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5220 NE 122ND Avenue, Portland, OR 97230
- Phone Number
- 503-306-1023
- Primary Taxonomy
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 30, 2017
- Last Update Date
- June 30, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5220 NE 122ND Avenue
Portland, OR 97230 - City
- Portland
- State
- Oregon
- Zip
- 97230
- Phone Number
- 503-306-1023
Provider Business Mailing Address Details
- Address
- 5220 NE 122ND Avenue
Portland, OR 97230 - City
- Portland
- State
- OR
- Zip
- 97230
- Phone Number
- 503-306-1023
License Information
- License Number (1)
- C130153
- License State (1)
- CA
- Taxonomy (1)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (2)
- MD00032166
- License State (2)
- WA
- Taxonomy (2)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (3)
- M-10339
- License State (3)
- ID
- Taxonomy (3)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (4)
- MD17423
- License State (4)
- OR
- Taxonomy (4)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shadab N Aijazi, MD?
The NPI number of Shadab N Aijazi, MD is 1447771316. It was assigned on June 30, 2017 and is currently active in the NPPES registry.
What is the specialty of Shadab N Aijazi, MD?
Shadab N Aijazi, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CA under license number C130153.
Where does Shadab N Aijazi, MD practice?
The practice location is 5220 NE 122ND Avenue, Portland, OR 97230. The office can be reached at 503-306-1023 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447771316 directly on the NPPES registry website.