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SHAHAB HAFEZI MD
NPI 1508653056
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 21, 2025
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shahab Hafezi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAHAB HAFEZI MD (NPI 1508653056) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1508653056
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAHAB HAFEZICredential: MD
Location Address111 E 210TH STBronx, NY 10467-2490
Mailing Address111 E 210th StBronx, NY 10467-2490 · (718) 920-4321
Phone(718) 920-4321
Sole ProprietorYes
Enumeration DateApril 21, 2025
NPPES CertifiedApril 20, 2025
✔ NPI 1508653056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 E 210TH ST, Bronx, NY 10467
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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.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Shahab Hafezi's NPI number?

The NPI number for Shahab Hafezi is 1508653056. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Shahab Hafezi located?

Shahab Hafezi practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Shahab Hafezi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Shahab Hafezi was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.