Provider Demographics
NPI:1114456407
Name:KHALAFBEIGI, SHEVA (MD)
Entity Type:Individual
Prefix:
First Name:SHEVA
Middle Name:
Last Name:KHALAFBEIGI
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 1:1 CRANBERRY HL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7394
Mailing Address - Country:US
Mailing Address - Phone:678-679-9059
Mailing Address - Fax:205-579-9387
Practice Address - Street 1:1 CRANBERRY HL
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7394
Practice Address - Country:US
Practice Address - Phone:678-679-9059
Practice Address - Fax:205-579-9387
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV18100207ZP0102X
MA286016207ZP0102X
AZ56467207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology