Individual provider · Type 1 NPI

Shirin Mansooridara, MD

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

NPI number 1386583243 Active

Practice location

4802 10th Ave
Brooklyn, NY 11219-2916

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 1386583243

Shirin Mansooridara, MD's National Provider Identifier is 1386583243, issued on Mar 26, 2026. 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 Mar 26, 2026.