Fariborz Shahrooz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01036398A Issued in IN

Practice address

9656 Spruance CT
Indianapolis, IN 46256-9622

Phone

(812) 238-7783

Fax

(812) 238-4506

NPI assigned

May 17, 2007

Last updated

Aug 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1568679884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9656 SPRUANCE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569622",
            "telephone_number": "812-238-7783",
            "fax_number": "812-238-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9656 SPRUANCE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462569622",
            "telephone_number": "812-238-7783",
            "fax_number": "812-238-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHROOZ",
        "first_name": "FARIBORZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01036398A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300126770",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200353840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safi Shahda, M.D.
• Ali Ammar Shaheen
• Suleman Shahid
• Waseem Shahid
• Shahrooz Dermatology Center PC
• Niki Shahrrava, MD
• Akbar Shahsavar, RPH
• Ali Shahsavar, RBT
• Teresa Shahsavar, RPH
• Khurram Shahzad, M.D.

• Diagnostic Radiology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.