Provider Demographics
NPI:1477565778
Name:SHAFAEE, ZAHRA (MD)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:
Last Name:SHAFAEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:685 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5545
Mailing Address - Country:US
Mailing Address - Phone:914-787-4107
Mailing Address - Fax:914-779-0344
Practice Address - Street 1:685 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5545
Practice Address - Country:US
Practice Address - Phone:914-787-4107
Practice Address - Fax:914-779-0344
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2229082086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY168823Medicare UPIN
NY2FF5T11Medicare PIN