Individual provider · Type 1 NPI

Shady Ahmed Hassanien Ezaldin, MD

Student in an Organized Health Care Education/Training Program · Charleston, WV

NPI number 1043957970 Active

Practice location

3200 Maccorkle Avenue Southeast, Robert C. Bird Clinical Teaching Center, 4th Floor
Charleston, WV 25304

Call (304) 388-5590 Map

Fax (304) 388-8238

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043957970

Shady Ahmed Hassanien Ezaldin, MD's National Provider Identifier is 1043957970, issued on May 12, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, WV. The record was last updated on Aug 22, 2022.