Provider Demographics
NPI:1225140619
Name:SHAHID, NASHIHA (MD)
Entity type:Individual
Prefix:
First Name:NASHIHA
Middle Name:
Last Name:SHAHID
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 1:300 WEST AVE
Mailing Address - Street 2:
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420-1118
Mailing Address - Country:US
Mailing Address - Phone:585-637-3905
Mailing Address - Fax:585-637-4990
Practice Address - Street 1:319 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1347
Practice Address - Country:US
Practice Address - Phone:585-599-6446
Practice Address - Fax:585-637-4990
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001412207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00025779301OtherCHOICE CARE
00526499001OtherCOMMUNITY BLUE
7881284OtherAETNA PPO POS
040511000788OtherFIDELIS
9713470OtherGHI
106386BFOtherPREFERRED OPTION
0111253OtherENCOMPAS 65
2665071OtherAETNA HMO
080184525OtherRAILROAD MEDICARE
1963646OtherFIRST HEALTH
L014126BOtherTREATMENT
001412OtherNYS LICENSE
P010001412OtherBLUE CHOICE
L014126BOtherTREATMENT
7881284OtherAETNA PPO POS
BS7393870OtherDEA