National Provider Identifier

Seyed Abdoljavad Beheshti Shirazi, M.D.

Seyed Abdoljavad Beheshti Shirazi, M.D. is listed in the NPPES registry with a primary specialty of Anatomic Pathology Physician in Corning, NY and a listed phone number of (607) 937-1451.

NPI 1205053113Corning, NYAnatomic Pathology Physician

Profile Overview

NPI
1205053113
Provider Type
Individual
Primary Specialty
Anatomic Pathology Physician
Enumeration Date
April 20, 2007
Last Updated
March 25, 2021

Practice Location

  • 1 Guthrie Dr
  • Department Of Pathology
  • Corning, NY 14830-3696

Phone: (607) 937-1451

Mailing Address

  • 1 Guthrie Sq
  • Sayre, PA 18840-1625

Specialties

  • Anatomic Pathology Physician (207ZP0101X)
  • Anatomic Pathology Physician (207ZP0101X)
  • Dermatopathology (Pathology) Physician (207ZD0900X)

Endpoints

  • jbeheshti56493@direct-guthrie.org

    Direct Messaging Address | Direct | Corning, NY 14830

Full Record
NPI
1205053113
Entity Type
Individual
Last Name
Beheshti Shirazi
First Name
Seyed Abdoljavad
Credential
M.D.
Provider Other Last Name
Beheshti Shirazi
Provider Other First Name
Javad
Provider Other Credential Text
MD
Provider Other Last Name Type Code
2
Mailing Street Address
1 Guthrie Sq
Mailing City
Sayre
Mailing State
PA
Mailing ZIP Code
18840-1625
Mailing Country
US
Mailing Phone
(570) 888-5858
Practice Street Address
1 Guthrie Dr
Practice Address Line 2
Department Of Pathology
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-3696
Practice Country
US
Practice Phone
(607) 937-1451
Practice Fax
(607) 937-7860
Enumeration Date
April 20, 2007
Last Updated
March 25, 2021
Sex
Male
Sole Proprietor
No
Certification Date
March 25, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anatomic Pathology Physician (207ZP0101X), Anatomic Pathology Physician (207ZP0101X), Dermatopathology (Pathology) Physician (207ZD0900X)
Other Identifiers
03536096 (NY)