SHAYAN KHORSANDI M.D. NPI 1083159305

NPI Information

  • NPI: 1083159305
  • Provider Name: SHAYAN KHORSANDI, M.D.
  • Classification: Obstetrics & Gynecology - 207VF0040X
  • Specialization: Urogynecology and Reconstructive Pelvic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: CARRETERA #2, KILOMETER 39.5
    OFIC. 110
    VEGA BAJA, PR
    ZIP 00693
  • Phone: (787) 226-5425

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NPI Details

Shayan Khorsandi, M.D. is an urogynecology and reconstructive pelvic surgery in Vega Baja, PR with 8 years of experience. The provider is a subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. Shayan Khorsandi, M.D. NPI is 1083159305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Graduation Year:2018

The provider's business location address is:

CARRETERA #2, KILOMETER 39.5
OFIC. 110
VEGA BAJA, PR
ZIP 00693
Phone: (787) 226-5425

The NPI 1083159305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/21/2016 and was last updated on 2/10/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology021715PUERTO RICONo
22088F0040XUrologyUrogynecology and Reconstructive Pelvic Surgery021715PUERTO RICONo
3207VF0040XObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery021715PUERTO RICOYes
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
5207V00000XObstetrics & Gynecology25MA10177800NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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