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Contact Information

SHAYAN KHORSANDI, MD
CARRETERA #2, KILOMETER 39.5
OFIC. 110
VEGA BAJA, PR00693
 Phone: 787-226-5425
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Student in an Organized Health Care Education/Training Program

390200000X
 

Urogynecology and Reconstructive Pelvic Surgery

2088F0040X
Indicates primary specialty

NPI Profile & details for SHAYAN KHORSANDI · (Male)

NPI # 1083159305
Status Active
Credentials MD
Entity Individual
Enumeration date 12/21/2016
Last updated 02/10/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10177800
  • PR License # 021715
Hospital affiliation(s) Not Available
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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