Doctor Name: | DR. SHAHIDA PARVEEN |
NPI Number: | 1053549998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | A106558 |
Business Practice Address: | 3420 Kenyon St San Diego, CA - 921105001 |
Business Phone Number: | 8774960450 |
Business Fax Number: | |
Mailing Address: | 3420 Kenyon St, SAN DIEGO |
State: | CA |
Postal Code: | 921105001 |
Phone Number: | 8774960450 |
Fax Number: | |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 01/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | A106558 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |