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SHAYAN MOSTAFAVI DO
NPI 1619779790
Student in an Organized Health Care Education/Training Program in Jackson, TN

Active since March 27, 2025
700 W FOREST AVE FL 5, JACKSON, TN 38301(731) 423-1932(731) 660-8739 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shayan Mostafavi Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAYAN MOSTAFAVI DO (NPI 1619779790) is an individual student in an organized health care education/training program in Jackson, Tennessee and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1619779790
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAYAN MOSTAFAVICredential: DO
Location Address700 W FOREST AVE FL 5Jackson, TN 38301-3937
Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582 · (731) 512-1264 · Fax (731) 660-8739
Phone(731) 423-1932
Fax(731) 660-8739
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1619779790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
700 W FOREST AVE FL 5, Jackson, TN 38301
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW MINOR
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 927-8442
DELANEY PUCKETT DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
CARSON BODIFORD DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
HANNAH SHEA DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
JACOB GHEE MD
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
MICHAEL ALEXANDER LUCAS
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 927-8453
KAYLAN CAIN DO
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 423-1932
LANE TUPA
Student in an Organized Health Care Education/Training Program
700 W FOREST AVE FL 5
JACKSON, TN 38301
Madison County (731) 541-3755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shayan Mostafavi's NPI number?

The NPI number for Shayan Mostafavi is 1619779790. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Shayan Mostafavi located?

Shayan Mostafavi practices at 700 W Forest Ave Fl 5, Jackson, TN 38301. The listed phone number is (731) 423-1932.

What is Shayan Mostafavi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shayan Mostafavi was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.