Dr MORTEZA SHAHAMAT MD is a male medical professional, specializing in Internal Medicine. He graduated in 1970.
SOVEREIGN MEDICAL GROUP LLC
400 FRANKLIN TPKE
SUITE 104
MAHWAH
NJ
074303517
Tel: 2019951005
| Npi | 1154429959 |
| Pac Id | 5395780241 |
| Professional Enrollment Id | I20050622000427 |
| Last Name | SHAHAMAT |
| First Name | MORTEZA |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1970 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOVEREIGN MEDICAL GROUP LLC |
| Group Practice Pac Id | 1456535392 |
| Number Of Group Practice Members | 46 |
| Line 1 Street Address | 400 FRANKLIN TPKE |
| Line 2 Street Address | SUITE 104 |
| Marker Of Address Line 2 Suppression | |
| City | MAHWAH |
| State | NJ |
| Zip Code | 074303517 |
| Phone Number | 2019951005 |
| Hospital Affiliation Ccn 1 | 310012 |
| Hospital Affiliation Lbn 1 | VALLEY HOSPITAL |
| Hospital Affiliation Ccn 2 | 310001 |
| Hospital Affiliation Lbn 2 | HACKENSACK UNIVERSITY MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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