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Contact Information

SHAD JAWAID, MD
2301 RIVER RD
SUITE 302
LOUISVILLE, KY40206-1010
 Phone: 502-814-3175
 Fax: 502-426-5493
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for SHAD JAWAID · (Male)

NPI # 1114927415
Status Active
Credentials MD
Entity Individual
Enumeration date 07/28/2005
Last updated 02/20/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 31235
  • TX License # Q0942
  • AZ Medicaid 359814
  • IN Medicaid 200518860
  • KY Medicaid 64312358
Hospital affiliation(s)
  • BAYLOR REGIONAL MEDICAL CENTER AT PLANO - (Acute Care)
    4700 ALLIANCE BOULEVARD
    PLANO, TX 75093
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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