Provider Demographics
NPI:1457405409
Name:PIRNIA, SHAMSEDIN (MS)
Entity type:Individual
Prefix:MR
First Name:SHAMSEDIN
Middle Name:
Last Name:PIRNIA
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:872A E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE FINANCE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-5606
Mailing Address - Country:US
Mailing Address - Phone:937-435-0423
Mailing Address - Fax:937-435-0423
Practice Address - Street 1:872A E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CENTERVILLE FINANCE
Practice Address - State:OH
Practice Address - Zip Code:45459-5606
Practice Address - Country:US
Practice Address - Phone:937-435-0423
Practice Address - Fax:937-435-0423
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA01273231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHPI4020281Medicare ID - Type Unspecified