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Shahan Haseeb, MD
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1497494520

Shahan Haseeb is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Shahan Haseeb practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Shahan Haseeb is 1497494520 and holds a License No. (New York).

The current practice location address for Shahan Haseeb is 75 North Country Road, Mather Hospital, Port Jefferson, NY and can be reached out via phone at 621-686-2549.

Location: 75 North Country Road, Mather Hospital, Port Jefferson, NY, 11777
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497494520
Provider Name
Shahan Haseeb
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
75 North Country Road, Mather Hospital, Port Jefferson, NY, 11777
Phone Number
621-686-2549
Fax Number
Provider Enumeration Date
05/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 North Country Road, Mather Hospital
City
Port Jefferson
State
New York
Zip
11777
Phone Number
621-686-2549
Fax Number
person
Provider Business Mailing Address Details
Address
75 North Country Road, Mather Hospital
City
Port Jefferson
State
New York
Zip
11777
Phone Number
621-686-2549
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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