Provider Demographics
NPI:1033931498
Name:SHABANI, BAENI
Entity type:Individual
Prefix:
First Name:BAENI
Middle Name:
Last Name:SHABANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 OAK ST APT 3L
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-4068
Mailing Address - Country:US
Mailing Address - Phone:413-472-6826
Mailing Address - Fax:
Practice Address - Street 1:156 OAK ST APT 3L
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-4068
Practice Address - Country:US
Practice Address - Phone:413-472-6826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula