MR. THARUN SHYAM MD
NPI 1093408148
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
About Mr. Tharun Shyam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. THARUN SHYAM MD (NPI 1093408148) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Tharun Shyam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
BROOKLYN, NY 11219
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tharun Shyam's NPI number?
The NPI number for Tharun Shyam is 1093408148. It was assigned to this individual provider in the NPPES registry on June 2, 2023.
Where is Tharun Shyam located?
Tharun Shyam practices at Maimonides Medical Center 4802 10th Avenue, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.
What is Tharun Shyam's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tharun Shyam enrolled in Medicare?
Yes. Tharun Shyam is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tharun Shyam was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Tharun Shyam, MD · NPI 1093408148
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 2, 2023.
## Identity
- **NPI:** 1093408148 (Entity type: Individual)
- **Enumerated:** June 2, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** MAIMONIDES MEDICAL CENTER, 4802 10TH AVENUE, Brooklyn, NY 11219
- **Phone:** (718) 283-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093408148) · Data from the CMS NPPES public registry.