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Individual

DR. SHAHAB SHAFFIEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 SW 60TH CT STE 201, MIAMI, FL 33155-4070
(305) 662-8224
Mailing address
3200 SW 60TH CT STE 201, MIAMI, FL 33155-4070
(305) 662-8224

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT195624
PA
2086S0120X
Pediatric Surgery Physician
Primary
ME141917
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME141917
FLORIDA MEDICAL BOARD LICENSE
FL
01
MT195624
MEDICAL TRAINING NUMBER
PA
Enumeration date
10/09/2009
Last updated
08/02/2019
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