Shafieian, Mitra

Shafieian, Mitra is an individual health care provider with primary practice located at 10300 Sw 216Th St , Cutler Bay FL 33190-1003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Shafieian, Mitra can be contacted via phone (305) 253-5100.

Contact Information

Primary practice address
10300 Sw 216Th St Cutler Bay FL 33190-1003
Phone: (305) 253-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME 116632 Florida
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X ME 116632 Florida

Profile Details

NPI number 1538360987
LBN Legal business name Shafieian, Mitra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Nov 12th, 2015 - about 11 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 1538360987 NPPES
Florida MEDICAID 009635800

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