Individual provider · Type 1 NPI

Shaniah Shontae Holder, MD

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

NPI number 1124818067 Active

Practice location

3200 Maccorkle Ave SE
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 1124818067

Shaniah Shontae Holder, MD's National Provider Identifier is 1124818067, issued on May 12, 2025. 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 13, 2025.