MRS. SHIVA RAHIMI - SHAHMIRZADI (NPI# 1639548886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639548886 |
| Entity Type | Individual |
| Full Name | MRS. SHIVA RAHIMI - SHAHMIRZADI |
| Credential | M.D. |
| Practice Address |
3435 Main St. 105 Park Hall South Campus Buffalo NY 14216 |
| Practice Telephone | 7168385889 |
| Practice Fax Number | 7168384918 |
| Mailing Telephone | 7168385889 |
| Mailing Fax Number | 7168384918 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2016-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3435 MAIN ST. 105 PARK HALL SOUTH CAMPUS |
| City | BUFFALO |
| State | NY |
| Zip Code | 14216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780774240 | Eugene A. Pantera Jr. | Dentist | 3435 Main St., 240 Squire Hall, Buffalo, NY 14214-3008 | 2006-10-13 |
| 1801122072 | Suny Buffalo | Special Hospital | 3435 Main St., 105 Parker Hall, Buffalo, NY 14214 | 2009-10-23 |
| 1285869719 | Hyeongil Kim | Dentist | 3435 Main St., Squire Hall, Room 210a, Buffalo, NY 14214-8006 | 2009-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740752054 | Melanie Ivette Gonzalez | Occupational Therapist | 81 Rachel Vincent Way, Buffalo, NY 14216 | 2018-12-27 |
| 1245650308 | Maria Orellana-matta | Family Medicine | 900 Hertel Avenue, Buffalo, NY 14216 | 2014-04-16 |
| 1174823298 | Kostace Leslie Kyser | Dental Hygienist | 78 Commonwealth, Buffalo, NY 14216 | 2010-10-22 |
| 1205150737 | Barbara Jane Madison | Pharmacist | 1388 Hertel Ave, Buffalo, NY 14216 | 2010-03-26 |
| 1487894317 | Melissa Ryan Trillo | Speech-Language Pathologist | 780 Parkside Ave, Buffalo, NY 14216 | 2009-03-05 |
| 1003033010 | Dan W Rajca | Pharmacist | 1001 Hertel Avenue, Buffalo, NY 14216 | 2007-04-19 |
| 1629294806 | Nikita Chandrakant Dave | Physical Medicine & Rehabilitation | 699 Hertel Ave., Industrial Medicine Office, Buffalo, NY 14216 | 2007-04-17 |
| 1437260692 | Ruth Theresa Black | Social Worker | 29 Tennyson Ave, Buffalo, NY 14216 | 2006-08-31 |
| 1033229604 | Promed Inc | Durable Medical Equipment & Medical Supplies | 350 Hinman Ave, Buffalo, NY 14216 | 2006-08-30 |
| 1457361719 | Sylvia Marzullo | Physical Therapist | 2625 Delaware Ave, Buffalo, NY 14216 | 2006-08-09 |
| Find all providers in zip 14216 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655273 | Daniel Edwards | Student in an Organized Health Care Education/Training Program | 52 Angle St Uppr, Buffalo, NY 14214-1139 | 2020-10-05 |
| 1497366413 | Krista Lea Marita Koskinen | Student in an Organized Health Care Education/Training Program | 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 | 2020-08-13 |
| 1851919112 | Temitope Oluwaseun Ajayi | Student in an Organized Health Care Education/Training Program | 132 Affinity Lane, Buffalo, NY 14215 | 2020-07-13 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1356964043 | Andrew Buck | Student in an Organized Health Care Education/Training Program | 3435 Main St # 119, Buffalo, NY 14214-3001 | 2020-05-28 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1134741986 | Alexandra Lucia Tibil | Student in an Organized Health Care Education/Training Program | 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 | 2020-05-15 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.