Provider Demographics
NPI:1023252657
Name:SHAHIM, ZAHRA (MD)
Entity type:Individual
Prefix:DR
First Name:ZAHRA
Middle Name:
Last Name:SHAHIM
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 1:27328 SAHARA PL
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-3711
Mailing Address - Country:US
Mailing Address - Phone:949-690-1863
Mailing Address - Fax:
Practice Address - Street 1:32341 GOLDEN LANTERN STE D
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-5343
Practice Address - Country:US
Practice Address - Phone:949-363-9595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA121266207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB205881Medicare PIN