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

Individual provider Obstetrics & Gynecology Physician · NPI 1417258344

Mr. Shahriar Mahmoudiani, MD is an Obstetrics/Gynecology in Mount Vernon, New York. Qualified in 1993, 33 years ago. Practices with Union Community Health Center Inc, a 51-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
33
Licensed in
NY
In the registry since
2010
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

107 W 4th St Administration
Mount Vernon, NY 10550-4002
Phone: (914) 699-7200
Fax: (914) 699-0837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 255748 (NY)

Record details

NPI number1417258344
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 9, 2010
Last updated in NPPESJune 11, 2013

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Union Community Health Center Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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