Provider Demographics
NPI:1730987660
Name:SAFAIE, SHAHEEN SHAWN
Entity type:Individual
Prefix:MR
First Name:SHAHEEN
Middle Name:SHAWN
Last Name:SAFAIE
Suffix:
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 1:4825 BETH LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-6628
Mailing Address - Country:US
Mailing Address - Phone:704-421-4358
Mailing Address - Fax:
Practice Address - Street 1:4825 BETH LN
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-6628
Practice Address - Country:US
Practice Address - Phone:704-421-4358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-06
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)