Dr. Manouchehr T Shahab, MD
Dr. Manouchehr T Shahab, MD is an Obstetrics/Gynecology in Midland Park, New Jersey. Qualified in 1963, 63 years ago. Practices with Medwell LLC, an 11-clinician group and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 63
- Licensed in
- NJ
- In the registry since
- 2006
- Specialties on file
- 8
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
33 Central AveMidland Park, NJ 07432
Phone: (201) 689-0800
Fax: (201) 689-0871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MA02694700 (NJ) |
|---|---|
| Allergy & Immunology (Internal Medicine) Physician | Taxonomy 207RA0201X · Licence 25MA04825700 (NJ) |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X · Licence MA02694700 (NJ) |
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 25MA02694700 (NJ) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 25MA04825700 (NJ) |
| Diagnostic Ultrasound Physician | Taxonomy 2085U0001X · Licence 25MA04825700 (NJ) |
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 25MA02694700 (NJ) |
| Pain Medicine Physician | Taxonomy 208VP0000X · Licence MA02694700 (NJ) |
Record details
| NPI number | 1780697490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 14, 2006 |
| Last updated in NPPES | December 10, 2021 |
| Certification date | December 10, 2021 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Also practises | FAMILY PRACTICE |
| Medical school | OTHER |
| Graduated | 1963 (63 years in practice) |
| Group practice | Medwell Llc — 11 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |