Provider Demographics
NPI:1780690131
Name:ZAHED, SHAHAB (MD)
Entity type:Individual
Prefix:DR
First Name:SHAHAB
Middle Name:
Last Name:ZAHED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2141 W ORANGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-1955
Mailing Address - Country:US
Mailing Address - Phone:714-733-1333
Mailing Address - Fax:714-733-1334
Practice Address - Street 1:2141 W ORANGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-1955
Practice Address - Country:US
Practice Address - Phone:714-733-1333
Practice Address - Fax:714-733-1334
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83488208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB209797Medicare PIN