Individual
DR. FUAD SHATILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2232 WILLBORN AVE, SOUTH BOSTON, VA 24592
(434) 517-3705
Mailing address
1861 E NORTHERN PARKWAY, BALTIMORE, MD 21239-2107
(443) 763-1170
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101240399
VA
207RC0000X
Cardiovascular Disease Physician
9316
TN
207RC0000X
Cardiovascular Disease Physician
ME27115
FL
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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