Naim G. Shaheed, DPM, P.C.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

000637 Issued in GA

Legal business name

NAIM G. SHAHEED, DPM, P.C.

Practice address

5910 Hillandale Drive
Suite 102
Lithonia, GA 30058-1877

Phone

(770) 981-9011

Fax

(770) 981-0480

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Naim G Shaheed, DPM, P.C.

Title

President/Ceo

Phone

(770) 981-9011

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1851433320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DRIVE",
            "address_2": "SUITE 102",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581877",
            "telephone_number": "770-981-9011",
            "fax_number": "770-981-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 HILLANDALE DRIVE",
            "address_2": "SUITE 102",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300581877",
            "telephone_number": "770-981-9011",
            "fax_number": "770-981-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAIM G. SHAHEED, DPM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "SHAHEED",
        "authorized_official_first_name": "NAIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-981-9011",
        "authorized_official_credential": "DPM, P.C."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "000637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000536313B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.