# SALEM SHEHADEH SHAHIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578529392
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 4571 | ND | Yes |
| 208800000X | Urology Physician | 4737 | MT | — |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 12/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000082800 | BCBS MT | MT |
| 05 | — | 13783 | — | ND |
