Dr. Shiva Izaddoust is a San Antonio, Texas based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Shiva Izaddoust is 17028 for General Practice Dentistry in Texas. Her current practice location is 2310 Sw Military Dr, Suite 406, San Antonio. Patients can reach her at 210-927-1400.
Dr. Shiva Izaddoust is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Shiva Izaddoust speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Shiva Izaddoust
Specialization:
Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
2310 Sw Military Dr, Suite 406, San Antonio, Texas, 78224-1407
Phone:
210-927-1400
Fax:
210-927-6330
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1649317421
NPI Enumeration Date:
31 Jan, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shiva Izaddoust are as mentioned below.
License Number
Specialization
State
Status
17028
General Practice Dentistry
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shiva Izaddoust such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0064GJ
Other
Texas
BLUE CROSS BLUE SHIELD
1300537
Other
Texas
UNITED CONCORDIA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2310 Sw Military Dr, Suite 406 San Antonio, Texas
Zip:
78224-1407
Phone Number:
210-927-1400
Fax Number:
210-927-6330
Patients can reach Dr. Shiva Izaddoust at 2310 Sw Military Dr, Suite 406, San Antonio, Texas or can call to book an appointment on 210-927-1400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.