Provider Demographics
NPI:1124095062
Name:ENGINEER, SHIRIN F (MD)
Entity type:Individual
Prefix:DR
First Name:SHIRIN
Middle Name:F
Last Name:ENGINEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 25033
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92799-5033
Mailing Address - Country:US
Mailing Address - Phone:714-347-1010
Mailing Address - Fax:714-347-1082
Practice Address - Street 1:7677 CENTER AVE STE 104
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3030
Practice Address - Country:US
Practice Address - Phone:714-881-8700
Practice Address - Fax:714-881-8728
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC172442207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCS417 0018OtherCAREFIRST BCBS
MDKBC1CHOtherCAREFIRST BCBS
DCS417 0018OtherCAREFIRST BCBS
MDS74124FFMedicare ID - Type Unspecified
MD147844Y2MMedicare PIN