Provider Demographics
NPI:1962739201
Name:SHAHBAZI, MAHNAZ (MS)
Entity type:Individual
Prefix:
First Name:MAHNAZ
Middle Name:
Last Name:SHAHBAZI
Suffix:
Gender:
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 KING ARTHUR RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7105
Mailing Address - Country:US
Mailing Address - Phone:214-995-0578
Mailing Address - Fax:972-335-3778
Practice Address - Street 1:7700 KING ARTHUR RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7105
Practice Address - Country:US
Practice Address - Phone:214-995-0578
Practice Address - Fax:972-335-3778
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No251J00000XAgenciesNursing Care
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No251C00000XAgenciesDay Training, Developmentally Disabled Services