Individual provider · Type 1 NPI

Soroush Shakeri, MD

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1124713177 Active

Practice location

Maimonides Medical Center, 4802 10th Avenue
Brooklyn, NY 11219

Mailing address

Maimonides Medical Center 4802 10th Ave.
Brooklyn, NY 11219

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1124713177

Soroush Shakeri, MD's National Provider Identifier is 1124713177, issued on Apr 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Dec 5, 2023.