Active NPIIndividual providerSole proprietor

Bahareh Shanehsaz, MD

Pediatrics in West Windsor, New Jersey

NPI Number1649666165
Practice location
196 Princeton Hightstown RD, West Windsor, NJ 08550-1672
Fax
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Last updated
June 10, 2020

Bahareh Shanehsaz is a Pediatrics based in West Windsor, NJ. Bahareh Shanehsaz practices in West Windsor, NJ and has the professional credentials of MD. The NPI Number for Bahareh Shanehsaz is 1649666165 and holds a License No. 25MA10301200 (NJ). The current practice location address for Bahareh Shanehsaz is 196 Princeton Hightstown RD, West Windsor, NJ 08550-1672 and can be reached out via phone at 609-799-5335.

Provider Profile Details

NPI Number
1649666165
Provider Name
Bahareh Shanehsaz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
196 Princeton Hightstown RD, West Windsor, NJ 08550-1672
Phone Number
609-799-5335
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
April 10, 2015
Last Update Date
June 10, 2020
Certification Date
June 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
196 Princeton Hightstown RD
West Windsor, NJ 08550-1672
Zip
08550-1672
Phone Number
609-799-5335
West Windsor, NJ 08550Get directions →

Provider Business Mailing Address Details

Address
196 Princeton Hightstown RD
West Windsor, NJ 08550-1672
City
West Windsor
State
NJ
Zip
08550-1672
Phone Number
609-799-5335

License Information

License Number (1)
25MA10301200
License State (1)
NJ
Taxonomy (1)
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bahareh Shanehsaz, MD?

The NPI number of Bahareh Shanehsaz, MD is 1649666165. It was assigned on April 10, 2015 and is currently active in the NPPES registry.

What is the specialty of Bahareh Shanehsaz, MD?

Bahareh Shanehsaz, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA10301200.

Where does Bahareh Shanehsaz, MD practice?

The practice location is 196 Princeton Hightstown RD, West Windsor, NJ 08550-1672. The office can be reached at 609-799-5335 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649666165 directly on the NPPES registry website.

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