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

Shayan Khorsandi, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1083159305

Shayan Khorsandi, MD is an Obstetrics/Gynecology in Vega Baja, Puerto Rico. Graduated from Stanford University School of Medicine in 2023, 3 years ago. Works from 2 locations. Licensed in New Jersey and Puerto Rico.

Years since qualifying
3
Trained at
Stanford University School of Medicine
Licensed in
NJ, PR
In the registry since
2016
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Carretera #2 Kilometer 39.5 Ofic 110
Vega Baja, PR 00693
Phone: (787) 226-5425

Additional practice locations (1)

  • 5045 Route 130 Ste I, Delran, NJ 08075 — (856) 764-7660

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X · Licence 021715 (PR)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 021715 (PR)
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Taxonomy 2088F0040X · Licence 021715 (PR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 25MA10177800 (NJ)

Record details

NPI number1083159305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 21, 2016
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Also practisesUROLOGY
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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