Individual
ABDUSSALAM SHREDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST, MS 9410, LUBBOCK, TX 79430-0002
(806) 743-3150
(806) 743-2893
Mailing address
3601 4TH ST, MS 9410, LUBBOCK, TX 79430-0002
(806) 743-3150
(806) 743-2893
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53066
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2016
Last updated
02/04/2020
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