Most Relevant Information
Provider Data
| NPI Number: | 1003824616 |
| Provider Name: | SHAIDA KHAJENASIR RYAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/03/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1515 W NC HIGHWAY 54 STE 210
DURHAM
NC
277075576
Practice Location Phone/Fax
| Phone: | 9194525826 |
| Fax: |
Provider Mailing Location
PO BOX 52666
DURHAM
NC
277172666
Provider Mailing Phone/Fax
| Phone: | 9194525826 |
| Fax: |