DR. Shady Ahmed Hassanien Ezaldin, MD is a student in an organized health care education training program in Charleston, WV. The provider is 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. DR. Shady Ahmed Hassanien Ezaldin, MD NPI is 1043957970. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3200 MACCORKLE AVENUE SOUTHEAST
ROBERT C. BIRD CLINICAL TEACHING CENTER, 4TH FLOOR
CHARLESTON, WV
ZIP 25304
Phone: (304) 388-5590
Fax: (304) 388-8238
The NPI 1043957970 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 5/12/2022 and was last updated on 8/22/2022.