Individual provider · Type 1 NPI

Pedram Shadibakhsh, FNP

Family Nurse Practitioner · Brooklyn, NY

NPI number 1801408000 Active

Practice location

1078 E 32nd St
Brooklyn, NY 11210-4131

Call (917) 450-2219 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X346452 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1801408000

Pedram Shadibakhsh, FNP's National Provider Identifier is 1801408000, issued on Aug 19, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 19, 2020.