Larisa Shagabayeva, MD
Student in an Organized Health Care Education/Training Program in Miami, FL. Individual provider (NPI-1).
NPI number1275111007
StatusActive
Last updated in NPPESApr 1, 2021
Details
- NPI
- 1275111007
- Entity type
- Individual (NPI-1)
- Name
- Larisa Shagabayeva
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2021
- Certification date
- Apr 1, 2021
- Last updated
- Apr 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1611 Nw 12th AveMiami, FL 33136-1005
Phone 347-254-4264
Mailing address
2237 E 26th StBrooklyn, NY 11229-4941
Phone 347-254-4264
Other practice locations
2237 E 26th St
Brooklyn, NY 11229-4941
Brooklyn, NY 11229-4941
Phone 347-254-4264
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