1225140619 NPI number — NASHIHA SHAHID MD

Table of content: NASHIHA SHAHID MD (NPI 1225140619)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225140619 NPI number — NASHIHA SHAHID MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHAHID
Provider First Name:
NASHIHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225140619
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
43 BATAVIA CITY CENTRE
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
BATAVIA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-343-7117
Provider Business Mailing Address Fax Number:
585-343-3783

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
43 BATAVIA CITY CENTRE
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
BATAVIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-343-7117
Provider Business Practice Location Address Fax Number:
585-343-3783
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  001412 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00526499001 . This is a "COMMUNITY BLUE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 040511000788 . This is a "FIDELIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 080184525 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2665071 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: P010001412 . This is a "BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00025779301 . This is a "CHOICE CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1963646 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9713470 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7881284 . This is a "AETNA PPO POS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001412 . This is a "NYS LICENSE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0111253 . This is a "ENCOMPAS 65" identifier . This identifiers is of the category "OTHER".
  • Identifier: 106386BF . This is a "PREFERRED OPTION" identifier . This identifiers is of the category "OTHER".
  • Identifier: L014126B . This is a "TREATMENT" identifier . This identifiers is of the category "OTHER".




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