Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 306484 | NY |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 306484 | NY |
NPI | 1679815260 |
---|---|
Provider Name | Dr. Rajin Shahriar |
First Address | East Syracuse, NY 13057-4282 |
Second Address | East Syracuse, NY 13057-4282 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 12/08/2020 |