Dr. Shahram Jay Mirmanesh
MD, MBA | Pediatrics | Male
Dr. Shahram Jay Mirmanesh, MD, MBA is a Marlton, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Shahram Jay Mirmanesh is
12000 Lincoln Dr W, Suite 311, Marlton, New Jersey - 08053-3402. He can be contacted on phone at
856-985-8100 and fax number 856-985-8374.
Dr. Shahram Jay Mirmanesh is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Shahram Jay Mirmanesh is
1750335360 which was assigned by NPPES on 19 May, 2006 and it was last updated on 08 Jul, 2007.
Dr. Shahram Jay Mirmanesh license number is
25MA05186900 for Pediatrics (208000000X) in New Jersey.
Dr. Shahram Jay Mirmanesh is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Shahram Jay Mirmanesh basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Shahram Jay Mirmanesh |
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| Credential : | MD, MBA |
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| Gender : | Male |
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Business Address:
Dr. Shahram Jay Mirmanesh address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 12000 Lincoln Dr W, Suite 311
Marlton, NJ, 08053-3402
United States |
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| Phone Number : | 856-985-8100 |
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| Fax Number : | 856-985-8374 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750335360 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 May, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Medicare Participation:
Dr. Shahram Jay Mirmanesh participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5799958492 |
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| Medicare Enrollment ID : | I20111025000258 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1983 |
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| Accepts Medicare? | Yes. Dr. Shahram Jay Mirmanesh accepts medicare insurance. |
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Group Practice Association:
Dr. Shahram Jay Mirmanesh is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Shahram Jay Mirmanesh is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Advocare Llc | 3678562188 | 259 | 132 Grove St
Suite A
Haddonfield, NJ - 080331224
Ph: 8563542211 | Yes |
| Advocare Llc | 3678562188 | 259 | 100 Route 73
Voorhees, NJ - 080439575
Ph: 8567537374 | Yes |
| Advocare Llc | 3678562188 | 259 | 800 Liberty Pl
Sicklerville, NJ - 080815701
Ph: 8567287900 | Yes |
| Advocare Llc | 3678562188 | 259 | 802 Liberty Pl
Sicklerville, NJ - 080815701
Ph: 8567404400 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shahram Jay Mirmanesh are as mentioned. Primary taxonomy code for Dr. Shahram Jay Mirmanesh, MD, MBA is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 25MA05186900 | NJ |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3 Woodbrook Rd
Voorhees, NJ, 08043-2840
United States |
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| Phone Number : | 856-768-5336 |
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| Fax Number : | 856-985-8374 |
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Business Location:
Patients can refer following map for directions to
Dr. Shahram Jay Mirmanesh practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.