Shahin M Mirmanesh (NPI# 1679505325, PAC ID# 1052203106) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1679505325 |
| PAC ID by PECOS | 1052203106 |
| Professional Enrollment ID | I20040325000775 |
| Full Name | Shahin M Mirmanesh |
| Address |
651 Route 73 N Suite 405 Marlton NJ 08053-3452 |
| Phone Number | 8569850203 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310014 | COOPER UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 651 Route 73 N, Suite 405, Marlton, NJ 08053-3452 | 8569850203 |
| Street Address |
651 ROUTE 73 N SUITE 405 |
| City | MARLTON |
| State | NJ |
| Zip | 08053-3452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen M Dean | Clinical Social Worker | 651 Route 73 N, Suite 407, Marlton, NJ 08053-3452 | |
| Bryan C Russell | Chiropractic | 651 Route 73 N, Suite 304, Marlton, NJ 08053-3446 | |
| Carol Penny Bilofsky | Clinical Social Worker | 651 Route 73 N, Suite 407, Marlton, NJ 08053-3452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dinaz Homi Italia | Registered Dietitian Or Nutrition Professional | 750 Route 73 S 309a, Marlton, NJ 08053 | |
| Latifah Dosunmu-oparison | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Christopher E Zupsic | Optometry | 928 Greentree Sq, Marlton, NJ 08053 | |
| Diane Goldblum-graff | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Khalid M Bajwa | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Denise Owen Fabricius | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Andrea Cochran | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Thomas J Campo | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Shayla J Edwards | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Ann Farrow | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Find all physicians in zip 08053 | |||
| City | MARLTON |
| Zip Code | 08053 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MARLTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shahin M Mirmanesh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.