Organization
MUAIAD SHIHADEH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUAIAD SHIHADEH M.D (AUTHORIZED OFFICIAL)
(734) 434-8900
Entity
Organization
Contact information
Practice address
2236 PACKARD RD, YPSILANTI, MI 48197
(734) 434-8900
Mailing address
2236 PACKARD RD, YPSILANTI, MI 48197
(734) 459-7444
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037130
—
MI
01
—
110H110240
BLUE CROSS BLUE SHIELD
MI
05
—
3045454
—
MI
01
—
CD5295
MEDICARE RAILROAD
MI
Enumeration date
11/06/2006
Last updated
04/16/2013
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