Healthcare Provider Details

I. General information

NPI: 1730927039
Provider Name (Legal Business Name): SHAHDAD K SAEEDI DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 W HORIZON RIDGE PKWY STE 130
HENDERSON NV
89052-2731
US

IV. Provider business mailing address

2440 W HORIZON RIDGE PKWY STE 130
HENDERSON NV
89052-2731
US

V. Phone/Fax

Practice location:
  • Phone: 702-553-3388
  • Fax:
Mailing address:
  • Phone: 702-553-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. SHAHDAD K SAEEDI
Title or Position: PHYSICIAN
Credential: DPM, FACPM
Phone: 702-553-3338