| NPI | 1467779066 |
|---|---|
| Doing Business As | MAHMOOD SHAHLAPOUR |
| Entity Type | Organization |
| Authorized Contact | SUSAN D SHANNON Manager 888-825-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 28914) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-27 |