Healthcare Provider Details

I. General information

NPI: 1609434935
Provider Name (Legal Business Name): DIANNA MAHABIR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2019
Last Update Date: 03/10/2024
Certification Date: 03/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37827 EILAND BLVD
ZEPHYRHILLS FL
33542-1857
US

IV. Provider business mailing address

37827 EILAND BLVD
ZEPHYRHILLS FL
33542-1857
US

V. Phone/Fax

Practice location:
  • Phone: 813-780-2550
  • Fax:
Mailing address:
  • Phone: 813-780-2550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: