Shahrad Mabourakh
SHAHRAD MABOURAKH MD PA


Address: 6463 W Commercial Boulevard, Tamarac, FL 33319-2110
Phone: 9547201414

Shahrad Mabourakh (NPI# 1053388090, PAC ID# 2365511375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1053388090
PAC ID by PECOS 2365511375
Professional Enrollment ID I20080516000439
Full Name Shahrad Mabourakh
Organization Legal Name SHAHRAD MABOURAKH MD PA
Address 6463 W Commercial Boulevard
Tamarac
FL 33319-2110
Phone Number 9547201414
Gender M
Medical School TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1985
Primary Specialty INTERNAL MEDICINE
Secondary Specialties GERIATRIC MEDICINE
Group Practice PAC ID 1951470970
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100224 UNIVERSITY HOSPITAL AND MEDICAL CENTER
100029 NORTH SHORE MEDICAL CENTER
100228 WESTSIDE REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
6463 W Commercial Boulevard, Tamarac, FL 33319-2110 9547201414 SHAHRAD MABOURAKH MD PA

Organization Information

Organization Legal Name SHAHRAD MABOURAKH MD PA
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Patricia C Perez Nurse Practitioner Shahrad Mabourakh Md Pa 6463 W Commercial Boulevard, Tamarac, FL 33319-2110
Matthew Jay Wolland Nurse Practitioner Shahrad Mabourakh Md Pa 6463 W Commercial Boulevard, Tamarac, FL 33319-2110

Office Location

Street Address 6463 W COMMERCIAL BOULEVARD
City TAMARAC
State FL
Zip 33319-2110

Physicians in the same location

Name Specialty Organization Address
Patricia C Perez Nurse Practitioner Shahrad Mabourakh Md Pa 6463 W Commercial Boulevard, Tamarac, FL 33319-2110
Matthew Jay Wolland Nurse Practitioner Shahrad Mabourakh Md Pa 6463 W Commercial Boulevard, Tamarac, FL 33319-2110

Physicians in the same zip code

Name Specialty Organization Address
Jose Gregorio Aguilar Nurse Practitioner Henderson Behavioral Health, Inc. 4700 N State Rd, Suite 7, Lauderdale Lakes, FL 33319
Sandra Stone Sundel Clinical Social Worker Sun Health Career Solutions, Inc. 6700 W Commercial Blvd, Lauderhill, FL 33319-2115
Frances M Krohn Clinical Social Worker Sun Health Career Solutions, Inc. 6700 W Commercial Blvd, Lauderhill, FL 33319-2115
Sheldon H Kreda Optometry 7020 W Commercial Boulevard, Lauderhill, FL 33319-2122
Janet Gorfain Clinical Social Worker 6635 W Commercial Blvd, Suite 105, Tamarac, FL 33319-2141
Ibiza Nevares Physical Medicine and Rehabilitation 7100 W Commercial Blvd, Suite 105, Lauderhill, FL 33319-2147
Herbert R Slavin Internal Medicine 7200 W Commercial Blvd, Suite 210, Lauderhill, FL 33319-2148
Fred Grayson Chiropractic 6800 W Commercial Blvd, Suite 4, Lauderhill, FL 33319-2149
Marvin E Greenberg Ophthalmology Eye Physicians of Florida LLP 7421 N University Dr, Suite 109, Tamarac, FL 33319-2952
Clicile Pierre Clinical Social Worker 3800 Inverrary Blvd, Suite 100d, Lauderhill, FL 33319-4316
Find all physicians in zip 33319

Competitor

Search similar physicians

City TAMARAC
Zip Code 33319
Specialty INTERNAL MEDICINE
City + Specialty TAMARAC + INTERNAL MEDICINE

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Dataset Information

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.

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