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

Shelby Tharakan

Individual provider Family Nurse Practitioner · NPI 1194381020

Shelby Tharakan is a Family Nurse Practitioner in South Richmond Hill, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

11912 94th Ave Fl 1
South Richmond Hill, NY 11419-1332
Phone: (718) 297-0440
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F344111-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 344111 (NY)

Record details

NPI number1194381020
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2019
Last updated in NPPESFebruary 20, 2021
Certification dateFebruary 20, 2021

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