Shedeed, Reda E
Shedeed, Reda E is an sole proprietor health care provider with primary practice located at 1200 J D Anderson Dr , Morgantown WV 26505-3494. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Shedeed, Reda E can be contacted via phone (304) 598-1200.Contact Information
Primary practice address
1200 J D Anderson Dr
Morgantown WV 26505-3494
Phone: (304) 598-1200
Fax: (304) 598-1699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 146763 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD450866 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD450866 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 243034 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | WV-SE-1774 | West Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | WV-SE-1774 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35.133192 | Ohio |
Profile Details
| NPI number | 1275652273 |
|---|---|
| LBN Legal business name | Shedeed, Reda E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Mar 1st, 2024 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275652273 | NPPES |
| New York | MEDICAID | 02995013 | |
| New York | MEDICAID | 0283628 | |
| New York | Other | 146763 |
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