Provider Demographics
NPI:1487859427
Name:VIRANI, SHAHEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAHEENA
Middle Name:
Last Name:VIRANI
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 1:925 COMMON ST APT 703
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2336
Mailing Address - Country:US
Mailing Address - Phone:703-598-9192
Mailing Address - Fax:
Practice Address - Street 1:925 COMMON ST APT 703
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2336
Practice Address - Country:US
Practice Address - Phone:703-598-9192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAGETP.LSU.P2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA47226OtherWASHINGTON STATE MEDICAL