Provider Demographics
NPI:1598493603
Name:GHAFFARI KASHANI, SHAYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAYAN
Middle Name:
Last Name:GHAFFARI KASHANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 FOGG ST STE 16
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-4896
Mailing Address - Country:US
Mailing Address - Phone:615-669-5252
Mailing Address - Fax:
Practice Address - Street 1:632 FOGG ST STE 16
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-4896
Practice Address - Country:US
Practice Address - Phone:615-669-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor