Individual
ARYA SHOGHLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4583
Mailing address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-4583
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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