Individual
SHADI NAHVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
260 E 161ST ST, MELROSE 9, BRONX, NY 10451-3512
(718) 292-6622
Mailing address
1510 WATERS PL, BRONX, NY 10461-2700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228099
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
228099
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245643
—
NY
Enumeration date
03/22/2007
Last updated
03/22/2021
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