# SALEM S SHAHIN MD PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205104080
- **Authorized official:** LEEANN MARIE SEIL (CLINIC MANAGER)
- **Authorized official phone:** (701) 572-0127

## Contact information

- **Practice address:** 1219 KNOLL ST, WILLISTON, ND 58801-3234
- **Practice address phone:** (701) 572-0127
- **Practice address fax:** (701) 572-4472
- **Mailing address:** 1219 KNOLL ST, WILLISTON, ND 58801-3234
- **Mailing address phone:** (701) 572-0127
- **Mailing address fax:** (701) 572-4472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4571 | ND | Yes |

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 12/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 13783 | — | ND |