Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shabnam Pourabolghasem, MD

Individual provider General Practice Physician · NPI 1558972414

Dr. Shabnam Pourabolghasem, MD is a Family Practice in Bronx, New York. Qualified in 2009, 17 years ago. Practices with Bronxcare Health System, a 333-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 102374 (NY)

Record details

NPI number1558972414
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Bronxcare Health System — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx