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SHAH NADEEM M.D. NPI 1174706253


NPI Information

NPI: 1174706253
Provider Name: SHAH NADEEM, M.D.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

PECOS Registration: Yes

Address:
FAIRFAX PARK OFFICE PLAZA
9512 B LEE HIGHWAY
FAIRFAX, VA
ZIP 22031
Phone: (703) 345-8108
Get Directions

Shah Nadeem, M.D. is a psychiatry psychiatry neurology in Fairfax, VA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Shah Nadeem, M.D. NPI is 1174706253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

FAIRFAX PARK OFFICE PLAZA
9512 B LEE HIGHWAY
FAIRFAX, VA
ZIP 22031-303
Phone: (703) 345-8108
Fax: (703) 652-6007

The NPI 1174706253 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 12/11/2007 and was last updated on 4/9/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatry24263WEST VIRGINIANo
22084P0802XPsychiatry & NeurologyAddiction Psychiatry0101243101VIRGINIANo
32084P0800XPsychiatry & NeurologyPsychiatry0101243101VIRGINIAYes
42084P0800XPsychiatry & NeurologyPsychiatry046357CONNECTICUTNo
52084P0800XPsychiatry & NeurologyPsychiatryC10008633DELAWARENo
62084P0800XPsychiatry & NeurologyPsychiatry42986KENTUCKYNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
171000104370MEDICAIDKENTUCKY
23810016879MEDICAIDWEST VIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.