Provider Demographics
NPI:1093692162
Name:YAHYA, SHAHD ABDELMONEM
Entity type:Individual
Prefix:
First Name:SHAHD
Middle Name:ABDELMONEM
Last Name:YAHYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHAHD
Other - Middle Name:ABDELMONEM
Other - Last Name:YAHYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6800 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1803
Mailing Address - Country:US
Mailing Address - Phone:313-888-3765
Mailing Address - Fax:313-888-3765
Practice Address - Street 1:6800 BINGHAM ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-1803
Practice Address - Country:US
Practice Address - Phone:313-888-3765
Practice Address - Fax:313-888-3765
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIY900001786401163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics