Individual
SHIDEH DEURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 INDUSTRIAL DR, WINDHAM, NH 03087-2021
(603) 685-0150
Mailing address
5 INDUSTRIAL DR, WINDHAM, NH 03087-2021
(603) 685-0150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16192
NH
208000000X
Pediatrics Physician
A7110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509295
—
NV
Enumeration date
09/13/2006
Last updated
06/30/2016
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