Shahrad Mabourakh MD

NPI 1053388090 - Internal Medicine - 207R00000X

NPI Details
NPI 1053388090
Gender Male
Enumeration Date 03/08/2006
Last Updated 04/22/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
6463 W COMMERCIAL BLVD
TAMARAC FL, 33319-2110, US
Phone (954) 720-1414
Fax (954) 720-4727
Business Location
6463 W COMMERCIAL BLVD
TAMARAC FL, 33319-2110, US
Phone (954) 720-1414
Fax (954) 720-4727
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME0067283
Remove 1053388090 NPI Number
 

According to our database, Dr. Shahrad Mabourakh MD NPI is 1053388090, taxonomy code is 207R00000X and license number is ME0067283, license state is located at Florida. Shahrad Mabourakh MD physically located at 6463 W Commercial Blvd, Tamarac FL, 33319-2110. NPI Number Shahrad Mabourakh MD has the Individual type.

Sponsored links

1053388090 NPI number is provided on an as is basis without warranty of any kind. 1053388090 is maintained by the National Plan & Provider Enumeration System. The contents of Shahrad Mabourakh MD are for informational purposes only.