Seraji, Shadi

Seraji, Shadi is an individual health care provider with primary practice located at 130 Merrick Rd , Lynbrook NY 11563-2740. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Seraji, Shadi can be contacted via phone (516) 596-7600.

Contact Information

Primary practice address
130 Merrick Rd Lynbrook NY 11563-2740
Phone: (516) 596-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 305809 New York

Profile Details

NPI number 1881041127
LBN Legal business name Seraji, Shadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2016
Last updated Apr 25th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881041127 NPPES
New York MEDICAID 1881041127

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