Doctor Name: | DR. DAVID J SHAFRAN |
NPI Number: | 1568480606 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 31835 |
Business Practice Address: | 1221 N Highland Ave Aurora, IL - 605061404 |
Business Phone Number: | 8596260042 |
Business Fax Number: | 6309073998 |
Mailing Address: | 576 Avawam Dr, RICHMOND |
State: | KY |
Postal Code: | 404759195 |
Phone Number: | 8596260042 |
Fax Number: | 8596260047 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 02/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 31835 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |