Dr. Shubi Shahida

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

2005-01514 Issued in NC

Legal business name

DR. SHUBI SHAHIDA

Practice address

712 Wilkins St Ste a
Smithfield, NC 27577-4664

Phone

(919) 989-9109

NPI assigned

Oct 9, 2008

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Tax ID family

Dr Shubi Shahida2 organizations share this tax ID, including this one

Part of

Medvantx Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shubi Shahida, MD, PC

  • Internal Medicine Physician
  • Smithfield, NC
  • NPI 1740214048
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shubi Shahida, MD

  • Internal Medicine Physician
  • Smithfield, NC
  • NPI 1407803562
  NPD

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1346491198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WILKINS ST STE A",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774664",
            "telephone_number": "919-989-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHUBI SHAHIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2008-10-09",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "2005-01514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugene Dotson
• Megan Downey, CCC-SLP
• Downing Psychological PA
• Emily Louise Dowty, PA-C
• Dr. Henry N. Wright
• Jason Paul Drozda, PHARM.D., RPH
• Sallie Walker Dubose
• Matthew C Ducello
• Leslie Ann Byrd Dupree, DNP, FNP
• Jessica Duryee, M.A. CCC-SLP

• Non-Pharmacy Dispensing Site in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.