| NPI | 1225693864 |
|---|---|
| Former Name | AVA FAITH SHAHDADIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA006827) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD c0007252) |
| 363A00000X Physician Assistant (Licence: MD C07252) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2024-04-23 |