Individual
SHAHEDA NASRUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
4936 FABER DR, RALEIGH, NC 27606-1413
(910) 488-2120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301086722
MI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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