Individual
MR. ALEXANDER SHADID JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 SUPERIOR AVE, SUITE #200-G, NEWPORT BEACH, CA 92663-3663
(949) 791-6767
(949) 791-6768
Mailing address
510 SUPERIOR AVE, SUITE #200-G, NEWPORT BEACH, CA 92663-3663
(949) 791-6767
(949) 791-6768
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C41823
CA
Other
Enumeration date
12/28/2006
Last updated
08/11/2015
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