Shahrad Mabourakh (NPI# 1053388090, PAC ID# 2365511375) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053388090 |
| PAC ID by PECOS | 2365511375 |
| Professional Enrollment ID | I20080516000439 |
| Full Name | Shahrad Mabourakh |
| Organization Legal Name | SHAHRAD MABOURAKH MD PA |
| Address |
6463 W Commercial Boulevard Tamarac FL 33319-2110 |
| Phone Number | 9547201414 |
| Gender | M |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 1951470970 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100224 | UNIVERSITY HOSPITAL AND MEDICAL CENTER |
| 100029 | NORTH SHORE MEDICAL CENTER |
| 100228 | WESTSIDE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 | 9547201414 | SHAHRAD MABOURAKH MD PA |
| Organization Legal Name | SHAHRAD MABOURAKH MD PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia C Perez | Nurse Practitioner | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Matthew Jay Wolland | Nurse Practitioner | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Street Address |
6463 W COMMERCIAL BOULEVARD |
| City | TAMARAC |
| State | FL |
| Zip | 33319-2110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia C Perez | Nurse Practitioner | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Matthew Jay Wolland | Nurse Practitioner | Shahrad Mabourakh Md Pa | 6463 W Commercial Boulevard, Tamarac, FL 33319-2110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose Gregorio Aguilar | Nurse Practitioner | Henderson Behavioral Health, Inc. | 4700 N State Rd, Suite 7, Lauderdale Lakes, FL 33319 |
| Sandra Stone Sundel | Clinical Social Worker | Sun Health Career Solutions, Inc. | 6700 W Commercial Blvd, Lauderhill, FL 33319-2115 |
| Frances M Krohn | Clinical Social Worker | Sun Health Career Solutions, Inc. | 6700 W Commercial Blvd, Lauderhill, FL 33319-2115 |
| Sheldon H Kreda | Optometry | 7020 W Commercial Boulevard, Lauderhill, FL 33319-2122 | |
| Janet Gorfain | Clinical Social Worker | 6635 W Commercial Blvd, Suite 105, Tamarac, FL 33319-2141 | |
| Ibiza Nevares | Physical Medicine and Rehabilitation | 7100 W Commercial Blvd, Suite 105, Lauderhill, FL 33319-2147 | |
| Herbert R Slavin | Internal Medicine | 7200 W Commercial Blvd, Suite 210, Lauderhill, FL 33319-2148 | |
| Fred Grayson | Chiropractic | 6800 W Commercial Blvd, Suite 4, Lauderhill, FL 33319-2149 | |
| Marvin E Greenberg | Ophthalmology | Eye Physicians of Florida LLP | 7421 N University Dr, Suite 109, Tamarac, FL 33319-2952 |
| Clicile Pierre | Clinical Social Worker | 3800 Inverrary Blvd, Suite 100d, Lauderhill, FL 33319-4316 | |
| Find all physicians in zip 33319 | |||
| City | TAMARAC |
| Zip Code | 33319 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TAMARAC + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shahrad Mabourakh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.