Provider Demographics
NPI:1912795675
Name:SOBHANI, SHANA LAVERGNE (STUDENT)
Entity type:Individual
Prefix:
First Name:SHANA
Middle Name:LAVERGNE
Last Name:SOBHANI
Suffix:
Gender:
Credentials:STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 PITTSBORO ST # 3550
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-2911
Mailing Address - Country:US
Mailing Address - Phone:919-909-1335
Mailing Address - Fax:
Practice Address - Street 1:325 PITTSBORO ST # 3550
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-2911
Practice Address - Country:US
Practice Address - Phone:919-909-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program