# OLIVIA SUMIA SHADID

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

## Provider details

- **NPI number:** 1750844403
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | MD2022-1190 | NM | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD2022-1190 | NM | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NM | — |

## Other

- **Enumeration date:** 04/10/2019
- **Last updated:** 07/31/2024