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Shayan Zoghi, DO
Student in an Organized Health Care Education/Training Program in Fresno, California
NPI 1770110009

Shayan Zoghi is a Student in an Organized Health Care Education/Training Program based in Newport Coast, CA. Shayan Zoghi practices in Fresno, CA and has the professional credentials of DO. The NPI Number for Shayan Zoghi is 1770110009 and holds a License No. 02007017A (California).

The current practice location address for Shayan Zoghi is 155 N Fresno St, Fresno, CA and can be reached out via phone at 559-499-6450.

Location: 155 N Fresno St, Fresno, CA, 92657-1047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770110009
Provider Name
Shayan Zoghi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
155 N Fresno St, Fresno, CA, 92657-1047
Phone Number
559-499-6450
Fax Number
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
155 N Fresno St
City
Fresno
State
California
Zip
93701-2302
Phone Number
559-499-6450
Fax Number
person
Provider Business Mailing Address Details
Address
155 N Fresno St
City
Fresno
State
California
Zip
93701-2302
Phone Number
559-499-6450
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
02007017A (Indiana)
Definition
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.
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