Individual
MEAAD RAFIQ SHITAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1604
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1604
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD2025-0303
NM
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/07/2019
Last updated
09/29/2025
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