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Shane Ravi Mahabir, DO
Student in an Organized Health Care Education/Training Program in Bradenton, Florida
NPI 1073000337

Shane Ravi Mahabir is a Student in an Organized Health Care Education/Training Program based in Bradenton, FL. Shane Ravi Mahabir practices in Bradenton, FL and has the professional credentials of DO. The NPI Number for Shane Ravi Mahabir is 1073000337 and holds a License No. (Florida).

The current practice location address for Shane Ravi Mahabir is 2020 26Th Ave E, Bradenton, FL and can be reached out via phone at 941-782-4600. You can also correspond with Shane Ravi Mahabir through the mailing address at 2020 26TH AVE E, BRADENTON, FL - 34208-7753 (mailing address contact number: 941-782-4600).

Location: 2020 26Th Ave E, Bradenton, FL, 34208-7753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073000337
Provider Name
Shane Ravi Mahabir
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2020 26Th Ave E, Bradenton, FL, 34208-7753
Phone Number
941-782-4600
Fax Number
Provider Enumeration Date
04/21/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1073000337 05 FL
institution
Provider Business Practice Location Address Details
Address
2020 26Th Ave E
City
Bradenton
State
Florida
Zip
34208-7753
Phone Number
941-782-4600
Fax Number
person
Provider Business Mailing Address Details
Address
2020 26Th Ave E
City
Bradenton
State
Florida
Zip
34208-7753
Phone Number
941-782-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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