Individual
HUSAM SHADID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
U4005
TX
207RC0000X
Cardiovascular Disease Physician
4301513352
MI
208M00000X
Hospitalist Physician
U4005
TX
390200000X
Student in an Organized Health Care Education/Training Program
4351044786
MI
Other
Enumeration date
06/23/2019
Last updated
05/05/2026
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