Provider Demographics
NPI:1588961601
Name:ZAHEDI, NILOUPHAR (DC)
Entity type:Individual
Prefix:DR
First Name:NILOUPHAR
Middle Name:
Last Name:ZAHEDI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1464 E WHITESTONE BLVD STE 1403
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-9072
Mailing Address - Country:US
Mailing Address - Phone:512-456-7508
Mailing Address - Fax:512-354-7454
Practice Address - Street 1:1464 E WHITESTONE BLVD STE 1403
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-9072
Practice Address - Country:US
Practice Address - Phone:512-456-7508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-25
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31755111N00000X
VA0104556986111N00000X
TX12999111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor