Provider Demographics
NPI:1346015641
Name:ZAHID, ROOHI TABASSUM (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ROOHI
Middle Name:TABASSUM
Last Name:ZAHID
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 SAN DIMAS ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-5711
Mailing Address - Country:US
Mailing Address - Phone:661-864-7944
Mailing Address - Fax:
Practice Address - Street 1:3941 SAN DIMAS ST STE 101
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5711
Practice Address - Country:US
Practice Address - Phone:661-864-7944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95028548363LP0200X
CA806724363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty