SHAYAN SOOZANDEH MD
NPI 1982543666
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since March 26, 2026
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shayan Soozandeh Md NPPES

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

SHAYAN SOOZANDEH MD (NPI 1982543666) is an individual student in an organized health care education/training program in Brooklyn, New York, licensed in New York (XXXXXX) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1982543666
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHAYAN SOOZANDEHCredential: MD
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address186 May AveRichmond Hill, ONTARIO L4C3S6
Sole ProprietorYes
Enumeration DateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
NPI 1982543666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NY · XXXXXX
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.
4802 10TH AVE, Brooklyn, NY 11219

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Internal Medicine (Infectious Disease)
4802 10TH AVE
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 Shayan Soozandeh's NPI number?

The NPI number for Shayan Soozandeh is 1982543666. It was assigned to this individual provider in the NPPES registry on March 26, 2026.

Where is Shayan Soozandeh located?

Shayan Soozandeh practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Shayan Soozandeh'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 Shayan Soozandeh was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.