MEDICARE: DR. SHAHDAD K SAEEDI DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0000X	Sports Medicine Podiatrist	E5561	CA
2	213ES0000X	Sports Medicine Podiatrist	2076	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14621811	OTHER		CAQH

General Provider Information

NPI Number	:	1245684166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHDAD K SAEEDI DPM

Provider Business Mailing Address
First Line	:	2440 W HORIZON RIDGE PKWY STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2731
Country	:	US
Telephone Number	:	702-553-3338
Fax Number	:	702-725-2538

Provider Business Practice Location Address
First Line	:	2440 W HORIZON RIDGE PKWY STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-2731
Country	:	US
Telephone Number	:	702-553-3338
Fax Number	:	702-725-2538

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2016
Last Update Date	:	08/02/2024

Similar Medicare Providers

1114889680 — MANA MEDICAL SHLIFER
Practice Location Address:

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

Practice Phone: 725-214-4237
Practice Fax:

1508847997 — DR. DAVID SCOTT WAGNER D.C.
Practice Location Address:

2440 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
89052-2731

Practice Phone: 702-798-7171
Practice Fax: 702-436-6561

1811296585 — DR. KRISHANTHI JAYATHILAKA M.D.
Practice Location Address:

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

Practice Phone: 702-881-8191
Practice Fax:

1902284870 — JOHN ALLEN GARRISON D.O.
Practice Location Address:

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

Practice Phone: 702-881-8191
Practice Fax:

1518445345 — RENEE MARIE WOODRING CPC
Practice Location Address:

2731 ENCHANTED ISLE ST
HENDERSON, NV
89052-3857

Practice Phone: 702-334-3178
Practice Fax:

1609355122 — MS. JENELLE MARJORIE NICOLE CORKILL ND
Practice Location Address:

2440 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
89052-2731

Practice Phone: 702-450-7175
Practice Fax: 702-436-6561

Directions to “ DR. SHAHDAD K SAEEDI DPM” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.