Provider Demographics
NPI:1235998832
Name:MUHSENI, MOHAMMAD SHIRAZ
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:SHIRAZ
Last Name:MUHSENI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11921 MISTY COVE CT APT 202
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7150
Mailing Address - Country:US
Mailing Address - Phone:804-234-6286
Mailing Address - Fax:
Practice Address - Street 1:11921 MISTY COVE CT APT 202
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-7150
Practice Address - Country:US
Practice Address - Phone:804-234-6286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst