Provider Demographics
NPI:1962371559
Name:SHIEVA GHOFRANY MD LLC
Entity type:Organization
Organization Name:SHIEVA GHOFRANY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOFRANY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-350-9399
Mailing Address - Street 1:980 POST RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-4509
Mailing Address - Country:US
Mailing Address - Phone:203-350-9399
Mailing Address - Fax:888-851-8370
Practice Address - Street 1:980 POST RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-4509
Practice Address - Country:US
Practice Address - Phone:203-350-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-01
Last Update Date:2025-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty