Baheeg L Shadeed, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

024628 Issued in GA

Practice address

3969 S Cobb Dr SE
Suite 202
Smyrna, GA 30080-6358

Phone

(770) 438-9191

Fax

(770) 438-9272

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1275620205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 202",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-438-9191",
            "fax_number": "770-438-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 202",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-438-9191",
            "fax_number": "770-438-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADEED",
        "first_name": "BAHEEG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "024628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020033757",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00261665B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seniors on the Move Express LLC
• Serenity- a New Hope Assisted Living Community
• Seven Breaths Wellness LLC
• SFS Wellness Solutions, Inc.
• Robin Shackleford, PHARMD
• Maansi Ajay Shah, D.C.
• Nikita Gautam Shah
• Nirali Girish Shah, OTR/L
• Shailesh Gandhi,MD,PC
• Judi L. Shakula, D.P.M.

• Surgery Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.