MEDICARE: DR. ABDUL QUDOOS SHAHID M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	35.085482	OH
2	207L00000X	Anesthesiology Physician	21937	OK
3	207L00000X	Anesthesiology Physician	35.085482	OH
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	35.085482	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063496586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDUL QUDOOS SHAHID M.D.

Provider Business Mailing Address
First Line	:	PO BOX 340453
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45434-0453
Country	:	US
Telephone Number	:	937-280-4970
Fax Number	:	937-630-4578

Provider Business Practice Location Address
First Line	:	2619 COMMONS BLVD STE 130
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-3840
Country	:	US
Telephone Number	:	937-280-4970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	06/11/2026

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Directions to “ DR. ABDUL QUDOOS SHAHID M.D.” Practice Location

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