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

Mutaz Shaheen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1760164602

Mutaz Shaheen is an Internal Medicine in Bronx, New York. Qualified in 2020, 6 years ago. Registered with an NPI since 2023.

Years since qualifying
6
In the registry since
2023
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Practice location Address checks out

234 E 149th St
Bronx, NY 10451-5504
Phone: (718) 579-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1760164602
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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