Individual
PERIHAN EL SHANAWANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-5098
Mailing address
630 W 168TH ST, BOX 4, NEW YORK, NY 10032-3725
(212) 305-5098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
266997
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
266997
NY
Other
Enumeration date
10/23/2012
Last updated
01/06/2017
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