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Contact Information

FUAD SHATILA, MD
2232 WILLBORN AVE
SOUTH BOSTON, VA24592
 Phone: 434-517-3705
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FUAD SHATILA · (Male)

NPI # 1043393531
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME27115
  • TN License # 9316
  • VA License # 0101240399
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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