Provider Demographics
NPI:1598020893
Name:RAJPARI, SHAHEEN (DMD)
Entity type:Individual
Prefix:DR
First Name:SHAHEEN
Middle Name:
Last Name:RAJPARI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SHAHEEN
Other - Middle Name:
Other - Last Name:RAJPARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1810 DECATUR HWY STE 212
Mailing Address - Street 2:
Mailing Address - City:FULTONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35068-1700
Mailing Address - Country:US
Mailing Address - Phone:205-821-1976
Mailing Address - Fax:
Practice Address - Street 1:1810 DECATUR HWY STE 212
Practice Address - Street 2:
Practice Address - City:FULTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35068-1700
Practice Address - Country:US
Practice Address - Phone:205-821-1976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5916C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist