Provider Demographics
NPI:1275656183
Name:SHAHPAR, CYRUS G (MD, MBA, MPH)
Entity Type:Individual
Prefix:
First Name:CYRUS
Middle Name:G
Last Name:SHAHPAR
Suffix:
Gender:M
Credentials:MD, MBA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 PIEDMONT AVE NE
Mailing Address - Street 2:UNIT 409
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3747
Mailing Address - Country:US
Mailing Address - Phone:510-915-0760
Mailing Address - Fax:
Practice Address - Street 1:531 ASBURY CIR
Practice Address - Street 2:HOSPITAL ANNEX-SUITE N340
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1006
Practice Address - Country:US
Practice Address - Phone:510-915-0760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0000000207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine