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

Mellita Shakhmurov, PA-C

Individual provider Physician Assistant · NPI 1861907867

Mellita Shakhmurov, PA-C is a Physician Assistant in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7512 197th St Fl 2
Fresh Meadows, NY 11366-1817
Phone: (718) 406-3604
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021517 (NY)

Record details

NPI number1861907867
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 12, 2017
Last updated in NPPESDecember 12, 2017

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