Provider Demographics
NPI:1902563497
Name:SHAHIN, ZIAD FRANCIS (PA-C)
Entity Type:Individual
Prefix:
First Name:ZIAD
Middle Name:FRANCIS
Last Name:SHAHIN
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2809 W CHARLESTON BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1998
Mailing Address - Country:US
Mailing Address - Phone:805-551-4565
Mailing Address - Fax:
Practice Address - Street 1:10115 JEFFREYS ST APT 2189
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7925
Practice Address - Country:US
Practice Address - Phone:805-551-4565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2022-01-21
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant