Provider Demographics
NPI:1356348411
Name:SHAHID, SALEH RASHID (MD)
Entity type:Individual
Prefix:DR
First Name:SALEH
Middle Name:RASHID
Last Name:SHAHID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5706
Mailing Address - Country:US
Mailing Address - Phone:865-588-8143
Mailing Address - Fax:865-450-3172
Practice Address - Street 1:7009 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5706
Practice Address - Country:US
Practice Address - Phone:865-588-8143
Practice Address - Fax:865-450-3172
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000035747207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H42676Medicare UPIN
TN3832996Medicare ID - Type Unspecified