Individual
NIMA SHAYESTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-4440
Mailing address
5943 TURTLE BEACH LN, HOUSTON, TX 77036-4528
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01094676A
IN
207P00000X
Emergency Medicine Physician
036.171911
IL
207P00000X
Emergency Medicine Physician
85139-20
WI
363L00000X
Nurse Practitioner
AP121411
TX
363LA2100X
Acute Care Nurse Practitioner
717881
TX
Other
Enumeration date
01/31/2012
Last updated
08/19/2025
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