Provider Demographics
NPI:1891970430
Name:SHAHEEN, SABRINA (MD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:SHAHEEN
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 1:1901 SOUTH CEDAR ST. SUITE 301
Mailing Address - Street 2:CARDIAC STUDY CENTER, INC., P.S.
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405
Mailing Address - Country:US
Mailing Address - Phone:253-573-7320
Mailing Address - Fax:253-627-3191
Practice Address - Street 1:1901 SOUTH CEDAR ST. SUITE 301
Practice Address - Street 2:CARDIAC STUDY CENTER, INC., P.S.
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-573-7320
Practice Address - Fax:253-627-3191
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY913152207R00000X
WAMD60237200207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2014434Medicaid
WAG8903412Medicare PIN