Individual
ATHAR SHADMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NW 17TH ST, MIAMI, FL 33136-1134
(650) 512-3121
Mailing address
150 E WYNNEWOOD RD APT 23K, WYNNEWOOD, PA 19096-1513
(650) 512-3121
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD491655
PA
390200000X
Student in an Organized Health Care Education/Training Program
TRN39136
FL
Other
Enumeration date
06/19/2024
Last updated
10/21/2025
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