Shaheedah Qayuum, - Registered Nurse in Simi Valley, CA

Shaheedah Qayuum, is a Registered Nurse based in Simi Valley, California. Shaheedah Qayuum is licensed to practice in California (license number 95238212) and her current practice location is 1177 Azalea Way, Simi Valley, California. She can be reached at her office (for appointments etc.) via phone at (518) 227-8117.

NPI number for Shaheedah Qayuum is 1578217725 and her current mailing address is 1177 Azalea Way, Simi Valley, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578217725.

Contact Information

Shaheedah Qayuum,
1177 Azalea Way,
Simi Valley, CA 93065-3337
(518) 227-8117
Not Available

Map and Direction




Provider's Profile

Full NameShaheedah Qayuum
GenderFemale
SpecialityRegistered Nurse
Location1177 Azalea Way, Simi Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578217725
  • Provider Enumeration Date: 02/07/2022
  • Last Update Date: 02/07/2022

Medical Identifiers

Medical identifiers for Shaheedah Qayuum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578217725NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 95238212 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaheedah Qayuum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shaheedah Qayuum,
1177 Azalea Way,
Simi Valley, CA 93065-3337

Ph: () -
Shaheedah Qayuum,
1177 Azalea Way,
Simi Valley, CA 93065-3337

Ph: (518) 227-8117

Reviews and Comments


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