Provider Demographics
NPI:1316745540
Name:ABADI, SHAYDA (CPNP-PC)
Entity type:Individual
Prefix:
First Name:SHAYDA
Middle Name:
Last Name:ABADI
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18546 ROSCOE BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-5451
Mailing Address - Country:US
Mailing Address - Phone:818-885-8040
Mailing Address - Fax:
Practice Address - Street 1:18546 ROSCOE BLVD STE 211
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5451
Practice Address - Country:US
Practice Address - Phone:818-885-8355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034030208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics