Individual
PAUL CYRUS SHAHIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6680
(270) 825-7266
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48394
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100309290
—
KY
Enumeration date
04/24/2013
Last updated
12/02/2020
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