Provider Demographics
NPI:1386843563
Name:SHIRVANI, NEELUFAR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NEELUFAR
Middle Name:
Last Name:SHIRVANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4635 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7169
Mailing Address - Country:US
Mailing Address - Phone:713-877-0697
Mailing Address - Fax:713-623-8380
Practice Address - Street 1:226 FLUOR DANIEL DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4073
Practice Address - Country:US
Practice Address - Phone:281-242-2040
Practice Address - Fax:281-242-2044
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23475122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist