Provider Demographics
NPI:1881327351
Name:GHAZANFAR-TORABI, SHAHRZAD (MD)
Entity type:Individual
Prefix:
First Name:SHAHRZAD
Middle Name:
Last Name:GHAZANFAR-TORABI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAHRZAD
Other - Middle Name:
Other - Last Name:GHAZANFAR-TORABI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SHAHRZAD TORABI, MD
Mailing Address - Street 1:16097 MANCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:EASTPOINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48021-1125
Mailing Address - Country:US
Mailing Address - Phone:312-973-0274
Mailing Address - Fax:
Practice Address - Street 1:5450 FORT ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-4601
Practice Address - Country:US
Practice Address - Phone:734-671-3297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-02
Last Update Date:2022-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351050237207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology