Individual provider · Type 1 NPI

Shadan Mehraban, MD

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

NPI number 1457092983 Active

Practice location

100 Hospital Rd Ste 201
East Patchogue, NY 11772-8814

Call (631) 475-6900 Map

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 1457092983

Shadan Mehraban, MD's National Provider Identifier is 1457092983, issued on Apr 6, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Patchogue, NY. The record was last updated on Apr 11, 2022.