Provider Demographics
NPI:1376730234
Name:MOHSEN SHEINI, NAKISA (MD)
Entity Type:Individual
Prefix:DR
First Name:NAKISA
Middle Name:
Last Name:MOHSEN SHEINI
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 1:4001 E SUNRISE DR
Mailing Address - Street 2:SUITE 161
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-4333
Mailing Address - Country:US
Mailing Address - Phone:520-232-5280
Mailing Address - Fax:520-232-5299
Practice Address - Street 1:4001 E SUNRISE DR
Practice Address - Street 2:SUITE 161
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-4333
Practice Address - Country:US
Practice Address - Phone:520-232-5280
Practice Address - Fax:520-232-5299
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ37567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ257800Medicaid
AZP00431754OtherRAILROAD MEDICARE
AZ257800Medicaid