Mirmanesh, Shapour Steve
Mirmanesh, Shapour Steve is an individual health care provider with primary practice located at 12000 Lincoln Drive West Suite 405, Marlton NJ 08053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Mirmanesh, Shapour Steve can be contacted via phone (856) 985-0203.Contact Information
Primary practice address
12000 Lincoln Drive West Suite 405
Marlton NJ 08053
Phone: (856) 985-0203
Fax: (856) 985-0010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25MA07725100 | New Jersey |
Profile Details
| NPI number | 1669407375 |
|---|---|
| LBN Legal business name | Mirmanesh, Shapour Steve |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669407375 | NPPES |
| New Jersey | MEDICAID | 0033189 |
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