Provider Demographics
NPI:1689083271
Name:SHAHABELMOLKI, VAHID (APDOM)
Entity Type:Individual
Prefix:DR
First Name:VAHID
Middle Name:
Last Name:SHAHABELMOLKI
Suffix:
Gender:M
Credentials:APDOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-5739
Mailing Address - Country:US
Mailing Address - Phone:941-544-5419
Mailing Address - Fax:941-870-8512
Practice Address - Street 1:944 HIGHLAND ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-5739
Practice Address - Country:US
Practice Address - Phone:941-544-5419
Practice Address - Fax:941-870-8512
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 3502171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist