Provider Demographics
NPI:1285647388
Name:ZEV, SHIRIN F (MD)
Entity Type:Individual
Prefix:
First Name:SHIRIN
Middle Name:F
Last Name:ZEV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHIRIN
Other - Middle Name:
Other - Last Name:FATEMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2994 CHURCHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-5643
Mailing Address - Country:US
Mailing Address - Phone:757-484-0500
Mailing Address - Fax:757-686-2805
Practice Address - Street 1:2994 CHURCHLAND BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-5643
Practice Address - Country:US
Practice Address - Phone:757-484-0500
Practice Address - Fax:757-686-2805
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101237364207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00245033OtherMEDICARE RR
173740OtherBCBS
2133072OtherALLIANCE OPTIMUM CHOICE
VA010134528Medicaid
0408624OtherUNITED HEALTHCARE
10001833OtherOPTIMA
VA010134528Medicaid
P00245033OtherMEDICARE RR