Provider Demographics
NPI:1083427363
Name:SHAIQ, HENNA
Entity type:Individual
Prefix:
First Name:HENNA
Middle Name:
Last Name:SHAIQ
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 1:9902 WENZEL LN
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5729
Mailing Address - Country:US
Mailing Address - Phone:571-412-9760
Mailing Address - Fax:
Practice Address - Street 1:9902 WENZEL LN
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5729
Practice Address - Country:US
Practice Address - Phone:571-412-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter
No104100000XBehavioral Health & Social Service ProvidersSocial Worker