Individual
OLIVIA SUMIA SHADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO MSC09 5030, ALBUQUERQUE, NM 87131-0001
(505) 272-5428
Mailing address
1 UNIVERSITY OF NEW MEXICO MSC09 5030, ALBUQUERQUE, NM 87131-0001
(505) 272-5428
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD2022-1190
NM
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD2022-1190
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/10/2019
Last updated
07/31/2024
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