DR. SHABANA SHAHANAVAZ MD NPI 1811229107

NPI Information

NPI: 1811229107
Provider Name: DR. SHABANA SHAHANAVAZ, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

PECOS Registration: Yes

Address:
3333 BURNET AVE
MLC 2003
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-4432
Get Directions

DR. Shabana Shahanavaz, MD is a pediatric cardiology pediatrics in Cincinnati, OH with 22 years of experience. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Shabana Shahanavaz, MD NPI is 1811229107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3333 BURNET AVE
MLC 2003
CINCINNATI, OH
ZIP 45229-026
Phone: (513) 636-4432
Fax: (513) 636-3952

The NPI 1811229107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/11/2010 and was last updated on 3/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	54308	KENTUCKY	No
2	2080P0202X	Pediatrics	Pediatric Cardiology	2011031514	MISSOURI	No
3	2080P0202X	Pediatrics	Pediatric Cardiology	01092178A	INDIANA	No
4	2080P0202X	Pediatrics	Pediatric Cardiology	35.140161	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ENROLLED	MEDICAID	ILLINOIS
2	1811229107	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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