Provider Demographics
NPI:1891103354
Name:SHAHEED, ZARINAH
Entity Type:Individual
Prefix:
First Name:ZARINAH
Middle Name:
Last Name:SHAHEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3644 S FORT APACHE RD APT 1089
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-3412
Mailing Address - Country:US
Mailing Address - Phone:323-793-7441
Mailing Address - Fax:
Practice Address - Street 1:6396 MCLEOD DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4428
Practice Address - Country:US
Practice Address - Phone:702-912-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No104100000XBehavioral Health & Social Service ProvidersSocial Worker