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Contact Information

SHAHAB KHADEMI, DO
1800 MULBERRY ST
SCRANTON, PA18510
 Phone: 570-703-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHAHAB KHADEMI · (Male)

NPI Number 1710243001
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/11/2012
Last updated 07/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 15759
  • NY License # 324100
  • PA License # OS018663
Hospital affiliation(s)
  • GEISINGER - COMMUNITY MEDICAL CENTER - (Acute Care)
    1822 MULBERRY STREET
    SCRANTON, PA 18510
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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