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General NPI Number Information
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NPI Number | 1639223688
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Entity Type | Individual
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Provider Name | MOHAMMAD SHEHADEH MD
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 09/02/2009
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Provider Practice Location Address
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Address Line | 300 NORTH AVE
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City | BATTLE
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State | MI
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Zip | 49017
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Country | US
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Telephone | 787-345-2912
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3313
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City | VEGA ALTA
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State | PR
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Zip | 00692
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Country | US
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Telephone | 787-345-2912
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 16926
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 4301095437
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License Number State | MI
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