Individual
MAHMETHAN M SHADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1755 N MECKLENBURG AVE, SOUTH HILL, VA 23970-4080
(434) 584-5540
(434) 774-2401
Mailing address
PO BOX 932909, CLEVELAND, OH 44193-2909
(330) 854-4281
(330) 854-0032
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101284925
VA
207Q00000X
Family Medicine Physician
35.149844
OH
Other
Enumeration date
03/26/2020
Last updated
04/07/2025
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