Parvin P Shaibani, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

35052630 Issued in OH

Practice address

1032 E Market St
Warren, OH 44483-6602

Phone

(330) 393-2585

Fax

(330) 393-5602

NPI assigned

Apr 4, 2006

Last updated

Nov 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1093777369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836602",
            "telephone_number": "330-393-2585",
            "fax_number": "330-393-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836602",
            "telephone_number": "330-393-2585",
            "fax_number": "330-393-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAIBANI",
        "first_name": "PARVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OH",
            "license": "35052630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0623169",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hem Shah
• Reshashree Shah, MD
• Roopshri Sunilkumar Shah, MD
• Vijaykumar Sankalchand Shah, MD
• Priyanka Shahi, MD
• Shaju Shamsuddin, MD
• Shared Medical Imaging Inc
• Diane Sharnek, MS/PC
• Sharon George DO Inc
• Tonya D Sharp, LMT

• Pediatric Adolescent Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Pediatric Adolescent Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.