West Broward Internal Medicine LLC
NPI 1871765727ActiveOrganization· Internal Medicine· Tamarac, FL
Internal Medicine in Tamarac, Florida, registered in NPPES in April 2008. The authorized official on file is Shahrad Mabourakh, M.D., Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871765727 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 1, 2008 |
| Last updated in NPPES | Jul 31, 2026 |
| Certified by provider | Jul 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | ME67283 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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