Individual
DR. SHAIDA KHAJENASIR RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 W NC HIGHWAY 54 STE 210, DURHAM, NC 27707-5576
(919) 452-5826
Mailing address
PO BOX 52666, DURHAM, NC 27717-2666
(919) 452-5826
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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