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Contact Information

MAZYAR MICHAEL NESHAT, D.C., P.A.
616 INDIAN TRAIL RD S
INDIAN TRAIL, NC28079-9680
 Phone: 704-821-7700
 Fax: 704-821-7710
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MAZYAR MICHAEL NESHAT, D.C., P.A.

NPI Number 1912002007
LBN Legal business name MAZYAR MICHAEL NESHAT, D.C., P.A.
Authorized official MAZYAR NESHAT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 2976
NC Medicaid 5901819
NC Other 085EA BCBS OF NC
NC Other 618261 CIGNA
NC Other 618261 UHC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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