Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 35052630 | OH |
NPI | 1093777369 |
---|---|
Provider Name | Dr. Parvin P Shaibani |
First Address | Warren, OH 44483-6602 |
Second Address | Warren, OH 44483-6602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 22/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0623169 | (05) | OH |
SH0879141 | (02) | OH |