| Shubi Shahida, Md, Pc | |
|
712-a Wilkins Street Smithfield NC 27577-4664 | |
| (919) 989-9109 | |
| Not Available |
| Full Name | Shubi Shahida, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 712-a Wilkins Street, Smithfield, North Carolina |
| Authorized Official Name and Position | Sabu Yunnus (OFFICE MANAGER) |
| Authorized Official Contact | 9199899109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shubi Shahida, Md, Pc 712-a Wilkins Street Smithfield NC 27577-4664 Ph: (919) 989-9109 | Shubi Shahida, Md, Pc 712-a Wilkins Street Smithfield NC 27577-4664 Ph: (919) 989-9109 |
| NPI Number | 1740214048 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 05/16/2008 |
| Medicare PECOS PAC ID | 4284638651 |
|---|---|
| Medicare Enrollment ID | O20060828000352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740214048 | NPI | - | NPPES |
| 5902696 | Medicaid | NC | |
| DF3293 | Other | NC | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2005-01514 (North Carolina) | Primary |
| Provider Name | Shubi Shahida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407803562 PECOS PAC ID: 5799799755 Enrollment ID: I20060128000015 |
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