Provider Demographics
NPI:1942752217
Name:SHAKIR, SHADEE II
Entity Type:Individual
Prefix:MR
First Name:SHADEE
Middle Name:
Last Name:SHAKIR
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7855 DEER SPRINGS WAY APT 2048
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-4025
Mailing Address - Country:US
Mailing Address - Phone:562-412-7148
Mailing Address - Fax:
Practice Address - Street 1:7855 DEER SPRINGS WAY APT 2048
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-4025
Practice Address - Country:US
Practice Address - Phone:562-412-7148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health