Provider Demographics
NPI:1033560099
Name:SHAHID, RIDA (MD)
Entity Type:Individual
Prefix:
First Name:RIDA
Middle Name:
Last Name:SHAHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 PASSAIC AVE
Mailing Address - Street 2:APT 201
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7427
Mailing Address - Country:US
Mailing Address - Phone:973-369-5736
Mailing Address - Fax:
Practice Address - Street 1:475 PASSAIC AVE
Practice Address - Street 2:APT 201
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7427
Practice Address - Country:US
Practice Address - Phone:973-369-5736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-30
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program