MEDICARE: DR. MUHAMMAD 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	207R00000X	Internal Medicine Physician	12656R	LA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	12656R	LA

General Provider Information

NPI Number	:	1992985386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD SHAHID M.D.

Provider Business Mailing Address
First Line	:	PO BOX 990
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70470-0990
Country	:	US
Telephone Number	:	985-747-0444
Fax Number	:	985-747-0480

Provider Business Practice Location Address
First Line	:	309 WALNUT ST
Second Line	:	SUITE C
City	:	AMITE
State	:	LA
Zip	:	70422-2055
Country	:	US
Telephone Number	:	985-747-0444
Fax Number	:	985-747-0480

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

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	02/28/2017

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Directions to “ DR. MUHAMMAD SHAHID M.D.” Practice Location

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