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Individual

DR. HASSAN SHAHID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 567-3448
Mailing address
2125 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME124294
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340127501
TX
01
340127502
CSHCN
TX
Enumeration date
05/14/2009
Last updated
07/23/2015
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