Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAHIN MICHAEL MIRMANESH, M.D.
Active Sole ProprietorSpecialist · MARLTON, NJ
Registration Details
- NPI Number
- 1679505325
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (19.815366368758 yrs)
- Last Updated
- Sep 23, 2010
- License
-
25MA06992000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12000 LINCOLN DR WSUITE 405MARLTON, NJ, 080533402Browse NJ providers · Browse ZIP 08053
- Phone
- 8569850203
- Fax
- 8569850010
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MARLTON, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. XIAOPING MA | M.D., PH.D. | 1912946724 |
| EMILY J. BERLIN | OTR/L | 1073609947 |
| DR. PETER FRANCIS ARINO | D.O. | 1437231263 |
| MR. DAVID PAUL OSTERHOUT | LCSW,BCD | 1881742989 |
| JOEL B GLASS | MD | 1861537219 |
| DR. CYNTHIA MARLO BAIRD | M.D., M.P.H. | 1902928435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.