Shaheen Rajpari, DMD
Individual provider Active NPI Dentist · Fultondale, AL
NPI 1598020893 · NPPES record last updated Oct 7, 2014
Key facts
- NPI
- 1598020893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5916C1 (AL)
- Practice address
- 1810 Decatur Hwy Ste 212
Fultondale, AL 35068-1700 - Phone
- (205) 821-1976
- NPI assigned
- Jul 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5916C1 | AL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Srupton, LLC | Past |
Accepting new patients | |
| Shaheen Rajpari Upton | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5916C1 | AL | Yes |
Addresses
Primary practice location
1810 Decatur Hwy Ste 212
Fultondale, AL 35068-1700
Mailing address
1810 Decatur Hwy Ste 212
Fultondale, AL 35068-1700
Phone (205) 821-1976
Other names
- Dr. Shaheen Rajpari
Other providers in Fultondale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.