Provider Demographics
NPI:1306852967
Name:SHAHID, SAIMA (MD)
Entity type:Individual
Prefix:
First Name:SAIMA
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 1:1453 TULIP TREE LN
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6672
Mailing Address - Country:US
Mailing Address - Phone:515-554-5350
Mailing Address - Fax:
Practice Address - Street 1:1453 TULIP TREE LN
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6672
Practice Address - Country:US
Practice Address - Phone:515-554-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA33605207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1306852967Medicaid
IA1212332Medicaid
IA1212332Medicaid
IAI5167Medicare ID - Type Unspecified
IA1306852967Medicaid