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NPI Code Detail

MEDICARE: SHAHAN SYED KAMAL DDS

MEDICARE: SHAHAN SYED KAMAL DDS
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1780514422
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHAN SYED KAMAL DDS
Provider Business Mailing Address
First Line : 374 STOCKHOLM ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-4006
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 374 STOCKHOLM ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11237-4006
Country : US
Telephone Number : 718-963-7174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ SHAHAN SYED KAMAL DDS” Practice Location

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