Individual
DR. SHAHIDA PARVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3420 KENYON ST, SAN DIEGO, CA 92110-5001
(877) 496-0450
Mailing address
3420 KENYON ST, SAN DIEGO, CA 92110-5001
(877) 496-0450
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
A106558
CA
Other
Enumeration date
06/30/2009
Last updated
10/16/2021
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