Provider Demographics
NPI:1114110392
Name:PIRZADEH, AFSANEH (MD)
Entity Type:Individual
Prefix:
First Name:AFSANEH
Middle Name:
Last Name:PIRZADEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 MACNIDER BUILDING
Mailing Address - Street 2:CB # 7221
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-966-7495
Mailing Address - Fax:919-966-6164
Practice Address - Street 1:214 MACNIDER BUILDING
Practice Address - Street 2:CB # 7221
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-7495
Practice Address - Fax:919-966-6164
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-010192080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine