OrganizationActive
Dr. Shubi Shahida
NPI 1346491198 · Non-Pharmacy Dispensing Site · Smithfield, NC
Provider details
- NPI number
- 1346491198
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- 2005-01514 (NC)
Specialties & taxonomies
Suppliers
Practice location
712 Wilkins St Ste a
Smithfield, NC 27577-4664
Phone: (919) 989-9109
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2008-10-09
- Last updated
- 2012-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.