Provider Demographics
NPI:1265844963
Name:SHAHGHOLI GHAHFAROKHI, LEILI
Entity Type:Individual
Prefix:
First Name:LEILI
Middle Name:
Last Name:SHAHGHOLI GHAHFAROKHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 1ST STREET , MAYO CLINIC
Mailing Address - Street 2:MAYO BULDING, 14TH FLOOR
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:200 1ST STREET MAYO CLINIC
Practice Address - Street 2:MAYO BULDING, 14TH FLOOR
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-538-4950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist