Basic Information
| Provider Information | |||||||||
| NPI: | 1629227889 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZAMANIFEKRI | ||||||||
| FirstName: | BEHROUZ | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 815 COX RD | ||||||||
| Address2: | |||||||||
| City: | GASTONIA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280543453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048651700 | ||||||||
| FaxNumber: | 7048657948 | ||||||||
| Practice Location | |||||||||
| Address1: | 815 COX RD | ||||||||
| Address2: | |||||||||
| City: | GASTONIA | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280543453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048651700 | ||||||||
| FaxNumber: | 7048657948 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/11/2008 | ||||||||
| LastUpdateDate: | 05/20/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 5555555 | DC | N | Hospitals | General Acute Care Hospital | 2084N0400X | 2013-00660 | NC | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.