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NPI Code Detail

MEDICARE: SHAHID WAHEED M.D.

MEDICARE: SHAHID WAHEED 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
1207RH0003XHematology & Oncology Physician103168MO

General Provider Information

NPI Number : 1134122989
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHID WAHEED M.D.
Provider Business Mailing Address
First Line : 600 MEDICAL PARK DR
Second Line :
City : MEXICO
State : MO
Zip : 65265-3724
Country : US
Telephone Number : 573-581-8500
Fax Number : 573-581-5397
Provider Business Practice Location Address
First Line : 600 MEDICAL PARK DR
Second Line :
City : MEXICO
State : MO
Zip : 65265-3724
Country : US
Telephone Number : 573-581-8500
Fax Number : 573-581-5397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/09/2007

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Directions to “ SHAHID WAHEED M.D.” Practice Location

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