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

Shehnaz Wasim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023695566

Shehnaz Wasim, MD is a Student in an Organized Health Care Education/Training Program in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2190
Phone: (631) 686-1443
Fax: (631) 686-7651
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 330827-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023695566
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Other providers in Port Jefferson