person
Dr. Shabnam Pourabolghasem, MD
General Practice Physician in Bronx, New York
NPI 1558972414

Shabnam Pourabolghasem is a General Practice Physician based in Bronx, NY. Shabnam Pourabolghasem practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Shabnam Pourabolghasem is 1558972414 and holds a License No. 102374 (New York).

The current practice location address for Shabnam Pourabolghasem is 2015 Grand Concourse, Bronx, NY and can be reached out via phone at 718-299-7295 and via fax at 718-299-6797.

Location: 2015 Grand Concourse, Bronx, NY, 10461-2507
person
Provider Profile Details
NPI Number
1558972414
Provider Name
Shabnam Pourabolghasem
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2015 Grand Concourse, Bronx, NY, 10461-2507
Phone Number
718-299-7295
Fax Number
718-299-6797
Provider Enumeration Date
08/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2015 Grand Concourse
City
State
Zip
10453-4303
Phone Number
718-299-7295
Fax Number
718-299-6797
person
Provider Business Mailing Address Details
Address
2015 Grand Concourse
City
State
Zip
10453-4303
Phone Number
718-299-7295
Fax Number
718-299-6797
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
102374 (New York)
Definition
Definition to come...
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