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Individual
DR. SHAIDAH DEGHAN MANSHADI
Active
Individual
DR. SHAIDAH DEGHAN MANSHADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
1020791
MA
2086S0129X
Vascular Surgery Physician
Primary
112664
NULL
2086S0129X
Vascular Surgery Physician
Primary
112664
ZZ
2086S0129X
Vascular Surgery Physician
38729
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112664
CANADIAN PHYSICIANS AND SURGEONS OF ONTARIO
—
05
—
3147410
—
NH
Enumeration date
07/03/2023
Last updated
01/27/2026
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