Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MORTEZA SHAFA, M.D.
Active Sole ProprietorMORTEZA SHAFA, M.D. is a Family Medicine healthcare provider located in LA CENTER, Kentucky. NPI 1669407458 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LA CENTER, KY
Registration Details
- NPI Number
- 1669407458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.10534022639 yrs)
- Last Updated
- Jul 8, 2007
- License
-
22367 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
245 BROADWAY ST.LA CENTER, KY, 42056Browse KY providers · Browse ZIP 42056
- Phone
- 2706659195
- Fax
- 2706655420
- Primary Specialty
-
Family Medicine
207Q00000X
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.