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MELLITA SHAKHMUROV PA-C
NPI 1861907867
Physician Assistant in Fresh Meadows, NY

Active since December 12, 2017
7512 197TH ST FL 2, FRESH MEADOWS, NY 11366(718) 406-3604 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mellita Shakhmurov Pa-c NPPES

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

MELLITA SHAKHMUROV PA-C (NPI 1861907867) is an individual physician assistant in Fresh Meadows, New York, licensed in New York (021517) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1861907867
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELLITA SHAKHMUROVCredential: PA-C
Location Address7512 197TH ST FL 2Fresh Meadows, NY 11366-1817
Mailing Address7512 197th St Fl 2Fresh Meadows, NY 11366-1817 · (718) 406-3604
Phone(718) 406-3604
Sole ProprietorNo
Enumeration DateDecember 12, 2017
✔ NPI 1861907867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 021517
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7512 197TH ST FL 2, Fresh Meadows, NY 11366
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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 Mellita Shakhmurov's NPI number?

The NPI number for Mellita Shakhmurov is 1861907867. It was assigned to this individual provider in the NPPES registry on December 12, 2017.

Where is Mellita Shakhmurov located?

Mellita Shakhmurov practices at 7512 197th St Fl 2, Fresh Meadows, NY 11366. The listed phone number is (718) 406-3604.

What is Mellita Shakhmurov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mellita Shakhmurov was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.