Individual
MRS. SHAHEEN AHMAD FEDEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3480 WAKE FOREST RD STE 204, RALEIGH, NC 27609-7376
(919) 862-5291
Mailing address
213 OBSIDIAN DR, HOLLY SPRINGS, NC 27540-6480
(571) 408-0926
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-05638
NC
Other
Enumeration date
03/12/2015
Last updated
05/05/2022
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