Provider Demographics
NPI:1265723084
Name:ROUHANI SCHAFFER, PANTA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:PANTA
Middle Name:
Last Name:ROUHANI SCHAFFER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 E 23RD ST APT ME
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5046
Mailing Address - Country:US
Mailing Address - Phone:305-710-5334
Mailing Address - Fax:
Practice Address - Street 1:45 E 85TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0957
Practice Address - Country:US
Practice Address - Phone:212-396-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY273971207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology