Shadeed, Baheeg L

Shadeed, Baheeg L is an sole proprietor health care provider with primary practice located at 3969 S Cobb Dr Se Suite 202, Smyrna GA 30080-6358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Shadeed, Baheeg L can be contacted via phone (770) 438-9191.

Contact Information

Primary practice address
3969 S Cobb Dr Se Suite 202 Smyrna GA 30080-6358
Fax: (770) 438-9272
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 024628 Georgia

Profile Details

NPI number 1275620205
LBN Legal business name Shadeed, Baheeg L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Sep 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275620205 NPPES
Georgia Other 020033757 RAILROAD MEDICARE
Georgia MEDICAID 00261665B RAILROAD MEDICARE

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