Individual
SALEM SHEHADEH SHAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1219 KNOLL ST, WILLISTON, ND 58801
(701) 572-0127
(701) 572-4472
Mailing address
1219 KNOLL ST, WILLISTON, ND 58801
(701) 572-0127
(701) 572-4472
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4571
ND
208800000X
Urology Physician
4737
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000082800
BCBS MT
MT
05
—
13783
—
ND
Enumeration date
04/21/2006
Last updated
12/21/2011
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