Provider Demographics
NPI:1437407350
Name:GIANI, SHADI BADIYAN (ACNS)
Entity Type:Individual
Prefix:MRS
First Name:SHADI
Middle Name:BADIYAN
Last Name:GIANI
Suffix:
Gender:F
Credentials:ACNS
Other - Prefix:
Other - First Name:SHADI
Other - Middle Name:
Other - Last Name:SHAKOURI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2200 PARK BEND DR.
Mailing Address - Street 2:BLDG 1, STE 300
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758
Mailing Address - Country:US
Mailing Address - Phone:512-719-4370
Mailing Address - Fax:512-719-4371
Practice Address - Street 1:2200 PARK BEND DR.
Practice Address - Street 2:BLDG 1, STE 300
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758
Practice Address - Country:US
Practice Address - Phone:512-719-4370
Practice Address - Fax:512-719-4371
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX792702364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health