Provider Demographics
NPI:1154370518
Name:SHAH, ZARINA (MD)
Entity type:Individual
Prefix:DR
First Name:ZARINA
Middle Name:
Last Name:SHAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 FOREST PL
Mailing Address - Street 2:CENTERS FOR YOUTH AND FAMILIES, SUITE 210
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-5245
Mailing Address - Country:US
Mailing Address - Phone:501-660-6865
Mailing Address - Fax:
Practice Address - Street 1:5905 FOREST PL
Practice Address - Street 2:CENTERS FOR YOUTH AND FAMILIES, SUITE 210
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72207-5245
Practice Address - Country:US
Practice Address - Phone:501-660-6865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR-41282084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry