Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIAVASH DAVID SHAHBODAGHI, MD/MPH
ActiveDR. SIAVASH DAVID SHAHBODAGHI, MD/MPH is a Family Medicine healthcare provider located in FORT GORDON, Georgia. NPI 1174904981 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FORT GORDON, GA
Registration Details
- NPI Number
- 1174904981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2015 (11.142289085629 yrs)
- Last Updated
- Oct 12, 2016
- License
-
27258 (WV)
Practice Information
- Address
-
300 EAST HOSPITAL ROADDWIGHT DAVID EISENHOWER ARMY MEDICAL CENTERFORT GORDON, GA, 309055650Browse GA providers · Browse ZIP 30905
- Phone
- 7067879281
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in FORT GORDON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. CHARLES GRAY HAISLIP | DO | 1184613994 |
| DR. VINCENT CARL BENTLEY | MD | 1477535565 |
| DR. RIMANI KELSEY-ROGERS | M.D. | 1639157159 |
| DR. CARLA B. LEE | MD | 1922088202 |
| DR. KATRINA DARLENE HALL | MD | 1427011428 |
| ALISSA S BROOKS | D.O. | 1386697506 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.