Shahoori, Neda

Shahoori, Neda is an individual health care provider with primary practice located at 1563 Kingsley Avenue Suite 106, Orange Park FL 32073. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Shahoori, Neda can be contacted via phone (904) 272-6161.

Contact Information

Primary practice address
1563 Kingsley Avenue Suite 106 Orange Park FL 32073
Phone: (904) 272-6161
Fax: (904) 389-5332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME155032 Florida

Profile Details

NPI number 1801327705
LBN Legal business name Shahoori, Neda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2017
Last updated Aug 25th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801327705 NPPES
Florida MEDICAID 114159600

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