Individual
SHEREEN A GAMALUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239470-1
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0101258253
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02751233
—
NY
01
—
239470-1
NEW YORK STATE LICENSE
NY
Enumeration date
06/11/2006
Last updated
12/08/2020
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