Organization
SHUBI SHAHIDA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SABU YUNNUS (OFFICE MANAGER)
(919) 989-9109
Entity
Organization
Contact information
Practice address
712-A WILKINS STREET, SMITHFIELD, NC 27577-4664
(919) 989-9109
Mailing address
712-A WILKINS STREET, SMITHFIELD, NC 27577-4664
(919) 989-9109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2005-01514
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902696
—
NC
01
—
DF3293
RAILROAD MEDICARE
NC
Enumeration date
07/10/2006
Last updated
05/16/2008
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