- Practice location
- 234 E 149TH St, Bronx, NY 10451-5504
- Phone
- 718-579-5000
- Fax
- —
- Last updated
- August 19, 2010
Samuel Alfred Shahidi is a Physician Assistant, Surgical based in Bronx, NY. Samuel Alfred Shahidi practices in Bronx, NY and has the professional credentials of MS, PA-C. The NPI Number for Samuel Alfred Shahidi is 1922314632 and holds a License No. 014108 (NY). The current practice location address for Samuel Alfred Shahidi is 234 E 149TH St, Bronx, NY 10451-5504 and can be reached out via phone at 718-579-5000.
Provider Profile Details
- NPI Number
- 1922314632
- Provider Name
- Samuel Alfred Shahidi
- Credential
- MS, PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 234 E 149TH St, Bronx, NY 10451-5504
- Phone Number
- 718-579-5000
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 19, 2010
- Last Update Date
- August 19, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 234 E 149TH St
Bronx, NY 10451-5504 - City
- Bronx
- State
- New York
- Zip
- 10451-5504
- Phone Number
- 718-579-5000
Provider Business Mailing Address Details
- Address
- 515 Lindberg Ave
Cliffside Park, NJ 07010-2203 - City
- Cliffside Park
- State
- NJ
- Zip
- 07010-2203
- Phone Number
- 201-840-9654
License Information
- License Number
- 014108
- License State
- NY
- Taxonomy
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Samuel A Shahidi, MS, PA-C?
The NPI number of Mr. Samuel A Shahidi, MS, PA-C is 1922314632. It was assigned on August 19, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Samuel A Shahidi, MS, PA-C?
Mr. Samuel A Shahidi, MS, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in NY under license number 014108.
Where does Mr. Samuel A Shahidi, MS, PA-C practice?
The practice location is 234 E 149TH St, Bronx, NY 10451-5504. The office can be reached at 718-579-5000 (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 1922314632 directly on the NPPES registry website.