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NPI Code Detail

MEDICARE: DR. PARI KEYHANI SHOJAE PRS,PBID,RPH,PHARM.D

MEDICARE: DR. PARI KEYHANI SHOJAE PRS,PBID,RPH,PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist052440NY

General Provider Information

NPI Number : 1881927101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PARI KEYHANI SHOJAE PRS,PBID,RPH,PHARM.D
Provider Business Mailing Address
First Line : 75-27 196TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11366
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 341 9TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-4007
Country : US
Telephone Number : 718-499-3414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2009
Last Update Date : 08/14/2023

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