Individual
JAWAD SHAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-9350
(631) 444-3880
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-9350
(631) 444-3880
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
289111
NY
Other
Enumeration date
04/08/2014
Last updated
05/14/2017
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