Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301105701 | MI |
N | 111NI0900X | Internist | 4301105701 | MI |
Y | 207R00000X | Internist | ME135020 | FL |
Y | 111NI0900X | Internist | ME135020 | FL |
NPI | 1003228651 |
---|---|
Provider Name | Keren Shahar |
First Address | Miami, FL 33131-3992 |
Second Address | Miami, FL 33136-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2014 |
Last Update Date | 21/12/2021 |