Provider Demographics
NPI:1225140619
Name:SHAHID, NASHIHA (MD)
Entity Type:Individual
Prefix:
First Name:NASHIHA
Middle Name:
Last Name:SHAHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 BATAVIA CITY CENTRE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020
Mailing Address - Country:US
Mailing Address - Phone:585-343-7117
Mailing Address - Fax:585-343-3783
Practice Address - Street 1:43 BATAVIA CITY CENTRE
Practice Address - Street 2:SUITE A
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020
Practice Address - Country:US
Practice Address - Phone:585-343-7117
Practice Address - Fax:585-343-3783
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001412207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00526499001OtherCOMMUNITY BLUE
040511000788OtherFIDELIS
080184525OtherRAILROAD MEDICARE
2665071OtherAETNA HMO
P010001412OtherBLUE CHOICE
00025779301OtherCHOICE CARE
1963646OtherFIRST HEALTH
9713470OtherGHI
7881284OtherAETNA PPO POS
001412OtherNYS LICENSE
0111253OtherENCOMPAS 65
106386BFOtherPREFERRED OPTION
L014126BOtherTREATMENT
L014126BOtherTREATMENT
7881284OtherAETNA PPO POS
BS7393870OtherDEA