Provider Demographics
NPI:1902372501
Name:SABA, SHAHRZAD (DC)
Entity Type:Individual
Prefix:MRS
First Name:SHAHRZAD
Middle Name:
Last Name:SABA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 E RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-1006
Mailing Address - Country:US
Mailing Address - Phone:512-520-4662
Mailing Address - Fax:855-328-0964
Practice Address - Street 1:1602 E RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-1006
Practice Address - Country:US
Practice Address - Phone:512-520-4662
Practice Address - Fax:855-328-0964
Is Sole Proprietor?:No
Enumeration Date:2018-10-22
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60901299111N00000X
TX15409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor