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NPI Code Detail

MEDICARE: SHAHEEN ISANI M.D.

MEDICARE:   SHAHEEN  ISANI  M.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
1174400000XSpecialist145091-1NY

General Provider Information

NPI Number : 1952307357
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHEEN ISANI M.D.
Provider Business Mailing Address
First Line : PO BOX 26940
Second Line :
City : NEW YORK
State : NY
Zip : 10087-6940
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 1049 5TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10028-0115
Country : US
Telephone Number : 212-772-6667
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/08/2007

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Directions to “ SHAHEEN ISANI M.D.” Practice Location

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