Tedjarati, Sean Shaheen

Tedjarati, Sean Shaheen is an sole proprietor health care provider with primary practice located at 19 Bradhurst Ave Ste 2575, Hawthorne NY 10532-2140. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Tedjarati, Sean Shaheen can be contacted via phone (914) 493-2181.

Contact Information

Primary practice address
19 Bradhurst Ave Ste 2575 Hawthorne NY 10532-2140
Phone: (914) 493-2181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X ME 89380 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 252781 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 252781 New York

Profile Details

NPI number 1548275902
LBN Legal business name Tedjarati, Sean Shaheen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Feb 23rd, 2021 - 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 1548275902 NPPES
New York MEDICAID 03119082

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