Healthcare Provider Details

I. General information

NPI: 1891287389
Provider Name (Legal Business Name): MAJD SHAIO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 08/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N CLAYTON ST. ST FRANCIS FAMILYMEDICINE, MSB 2ND FLOOR
WILMINGTON DE
19805-3165
US

IV. Provider business mailing address

701 N CLAYTON ST. ST FRANCIS FAMILYMEDICINE, MSB 2ND FLOOR
WILMINGTON DE
19805-3165
US

V. Phone/Fax

Practice location:
  • Phone: 302-575-8040
  • Fax: 302-575-8050
Mailing address:
  • Phone: 302-575-8040
  • Fax: 302-575-8050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: