FARID F SHAFAIE (NPI# 1306891841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306891841 |
| Entity Type | Individual |
| Full Name | FARID F SHAFAIE |
| Credential | M.D. |
| Practice Address |
3249 South Oak Park Ave. Berwyn IL 60402 |
| Practice Telephone | 7087833152 |
| Practice Fax Number | 7087833164 |
| Mailing Telephone | 7087833152 |
| Mailing Fax Number | 7087833164 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
12090 | NV | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME134254 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D57087 | MD | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
L6173 | TX | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101049809 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
110062 | MO | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35-07-4492-S | OH | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036-107562 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0361075621 | 05 | |
| RR MEDICARE | 300134723 | 01 |
| Street Address |
3249 SOUTH OAK PARK AVE. |
| City | BERWYN |
| State | IL |
| Zip Code | 60402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982084240 | Serin Edwin Erayil | Student in an Organized Health Care Education/Training Program | 3249 South Oak Park Ave., Berwyn, IL 60402 | 2015-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083891865 | West Suburban Radiology & Ultrasound PC | Radiology | 3304 Grove Ave, Berwyn, IL 60402-3448 | 2008-01-23 |
| 1154398816 | Antje L Greenfield | Radiology | 1001 Chesterbrook Blvd, Berwyn, PA 19312-3805 | 2006-03-01 |
| 1366423576 | Rafia S Saleem | Radiology | 7049 Cermak Rd, Berwyn, IL 60402-2137 | 2005-11-07 |
| 1982690830 | Mark Choi | Radiology | 3249 Oak Park Ave, Metropolitan Advanced Radiological Services, Ltd, Berwyn, IL 60402-3429 | 2005-09-26 |
| 1386104081 | Troy Lewis | Radiology | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2019-03-20 |
| 1295077196 | David Pierce | Radiology | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2013-03-19 |
| 1770876161 | Elaine Shiang | Radiology | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 2011-05-18 |
| 1659692663 | Seyed Amin Astani | Radiology | 3249 Oak Park Ave, Metropolitan Advanced Radiological Services, Berwyn, IL 60402-3429 | 2010-06-14 |
| 1336467463 | Midwest Open Mri of Illinois Ltd | Radiology | 7049 Cermak Rd, Berwyn, IL 60402-2137 | 2010-05-13 |
| 1346479102 | Leroy Stromberg IIi | Radiology | 3249 Oak Park Ave, Macneal Hospital, Berwyn, IL 60402 | 2009-07-14 |
| Find all providers in BERWYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.