Individual
DR. SASAN MOHAMMADI SHIBANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALLE HERNANDEZ CARRION, URB ATENAS, MANATI, PR 00674-2090
(301) 602-6741
Mailing address
PO BOX 2090, MANATI, PR 00674-2090
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
29200-R
PR
Other
Enumeration date
07/09/2012
Last updated
08/04/2012
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