MELLITA SHAKHMUROV


Address: 7512 197th St Fl 2, Fresh Meadows, NY 11366-1817
Phone: 7184063604

MELLITA SHAKHMUROV (NPI# 1861907867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861907867
Entity Type Individual
Full Name MELLITA SHAKHMUROV
Credential PA-C
Practice Address 7512 197th St Fl 2
Fresh Meadows
NY 11366-1817
Practice Telephone 7184063604
Mailing Telephone 7184063604
Enumeration Date 2017-12-12
Last Update Date 2017-12-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 021517 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7512 197TH ST FL 2
City FRESH MEADOWS
State NY
Zip Code 11366-1817

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417438599 Esther Mashaiv Specialist/Technologist, Other 7345 197st Flushing, New York, NY 11366 2018-08-27
1831615756 Joseph Sarreal Licensed Practical Nurse 77-03 166 Street, Fresh Meadows, NY 11366 2017-08-22
1780106872 Nadezhda Bababekova Registered Nurse 77-15 169st, Fresh Meadows, NY 11366 2017-07-11
1669902284 Alla Roziyeva Case Manager/Care Coordinator 162-16 Union Turnpike, Suite 303, Fresh Meadows, NY 11366 2017-06-15
1568998508 Patricia Guthrie Technician/Technologist 17760 Union Tpke, Suite 110, Fresh Meadows, NY 11366 2017-05-11
1639617384 Elina Gavrielova Clinical Nurse Specialist 7531 190th Street, Fresh Meadows, NY 11366 2017-02-02
1164966818 Lamisa Ahsan Pharmacist 186-16 Union Tunrpike, Flushing, NY 11366 2016-12-15
1508217027 Huisi Wu Case Manager/Care Coordinator 164-19 78th Ave, Fresh Meadows, NY 11366 2016-06-27
1770932113 Mary-kate Martinez Community Health Worker 75-02 162nd St, Fresh Meadows, NY 11366 2016-06-07
1366899866 Medical Offices of Occupational Health Resources P C Clinic/Center Hangar 3 Room 117, Laguardia Airport, Flushing, NY 11366 2016-05-16
Find all providers in zip 11366

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144821026 Victoria Yunaev Physician Assistant 7203 166th St, Fresh Meadows, NY 11365-3237 2020-11-05
1740826031 Daniela Iskhakov Physician Assistant 7543 184th St, Fresh Meadows, NY 11366-1714 2019-11-21
1225673908 Mikhal Ibragimov Physician Assistant 7008 171st St, Fresh Meadows, NY 11365-3336 2019-11-17
1518465343 Carly Goga Physician Assistant 16303 Horace Harding Expy Rm 300, Fresh Meadows, NY 11365-1449 2018-01-26
1598280489 Gabriella Pamela Koyenova Physician Assistant 69-24 181st Street, Fresh Meadows, NY 11365 2017-08-11
1881138493 Tatyana Falyushina Physician Assistant 7520 198th St, Fresh Meadows, NY 11366-1821 2016-12-15
1134590177 Jonathan Babayev Physician Assistant 6549 168th St, Fresh Meadows, NY 11365-1941 2015-10-16
1952779274 Valerie Bogdan Physician Assistant 17505 Horace Harding Expy, Fresh Meadows, NY 11365-1535 2015-09-03
1275937567 Reeva Gupta Physician Assistant 7010 172nd St, Fresh Meadows, NY 11365-3340 2014-10-15
1932518321 Angelina Mamanova Physician Assistant 17408 73rd Ave, Fresh Meadows, NY 11366-1404 2014-08-11
Find all providers in FRESH MEADOWS

Competitor

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City FRESH MEADOWS
Zip Code 11366

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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