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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457092983

Shadan Mehraban, MD is a Student in an Organized Health Care Education/Training Program in East Patchogue, New York. Registered with an NPI since 2022.

In the registry since
2022
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

100 Hospital Rd Ste 201
East Patchogue, NY 11772-8814
Phone: (631) 475-6900
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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 number1457092983
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2022
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address100 Hospital Rd Ste 201, East Patchogue, NY 11772-8814

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