Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shahin Michael Mirmanesh, MD

Individual provider Specialist · NPI 1679505325

Dr. Shahin Michael Mirmanesh, MD is an Internal Medicine in Marlton, New Jersey. Qualified in 1994, 32 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
32
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12000 Lincoln Dr W Ste 405
Marlton, NJ 08053-3402
Phone: (856) 985-0203
Fax: (856) 985-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA06992000 (NJ)

Record details

NPI number1679505325
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 6, 2006
Last updated in NPPESSeptember 23, 2010

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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