Pourabolghasem, Shabnam
Pourabolghasem, Shabnam is an individual health care provider with primary practice located at 2015 Grand Concourse , Bronx NY 10453-4303. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Pourabolghasem, Shabnam can be contacted via phone (718) 299-7295.Contact Information
Primary practice address
2015 Grand Concourse
Bronx NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 102374 | New York |
Profile Details
| NPI number | 1558972414 |
|---|---|
| LBN Legal business name | Pourabolghasem, Shabnam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2020 |
| Last updated | Aug 13th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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