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

Shanan Barua, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710621453

Shanan Barua, MD is a Student in an Organized Health Care Education/Training Program in Mineola, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
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

222 Station Plz N
Mineola, NY 11501-3800
Phone: (516) 663-8794
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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 · Licence 390200000X (NY)

Record details

NPI number1710621453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022
Mailing address263 Fulton St, Westbury, NY 11590-2123

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