| Shahram Shekib, Dds, Fagd, Pc | |
|
1671 55th St Lower Level Brooklyn NY 11204-1824 | |
| (718) 435-0045 | |
| (718) 435-1260 |
| Full Name | Shahram Shekib, Dds, Fagd, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1671 55th St, Brooklyn, New York |
| Authorized Official Name and Position | Shahram Shekib (PRESIDENT) |
| Authorized Official Contact | 7184350045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahram Shekib, Dds, Fagd, Pc 1671 55th St Lower Level Brooklyn NY 11204-1824 Ph: (718) 435-0045 | Shahram Shekib, Dds, Fagd, Pc 1671 55th St Lower Level Brooklyn NY 11204-1824 Ph: (718) 435-0045 |
| NPI Number | 1487640082 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487640082 | NPI | - | NPPES |
| 01873069 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046679 (New York) | Primary |
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