Provider Demographics
NPI:1518161397
Name:HOLDEN, SHAF B (MD)
Entity Type:Individual
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First Name:SHAF
Middle Name:B
Last Name:HOLDEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-519-8272
Mailing Address - Fax:256-519-8327
Practice Address - Street 1:201 SIVLEY RD SW
Practice Address - Street 2:SUITE300
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5134
Practice Address - Country:US
Practice Address - Phone:256-265-0255
Practice Address - Fax:256-533-3379
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2015-02-25
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Provider Licenses
StateLicense IDTaxonomies
AL25025208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)