Provider Demographics
NPI:1144464116
Name:SARRAF-YAZDI, SHIVA (MD)
Entity type:Individual
Prefix:MS
First Name:SHIVA
Middle Name:
Last Name:SARRAF-YAZDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 OCEAN DRIVE
Mailing Address - Street 2:# 01-20 THE AZURE
Mailing Address - City:SINGAPORE
Mailing Address - State:SINGAPORE
Mailing Address - Zip Code:098584
Mailing Address - Country:SG
Mailing Address - Phone:658-322-2604
Mailing Address - Fax:656-225-7559
Practice Address - Street 1:DUKE UNIVERSITY HOSPITAL
Practice Address - Street 2:M148 GREEN ZONE, DAVISON BLDG, TRENT DRIVE
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-4439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400741208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery