Dr. Eid Gadelseed, MD
Student in an Organized Health Care Education/Training Program in Stockton, CA. Individual provider (NPI-1).
NPI number1083343545
StatusActive
Last updated in NPPESOct 19, 2024
Details
- NPI
- 1083343545
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eid Gadelseed
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2022
- Certification date
- Oct 19, 2024
- Last updated
- Oct 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1800 N California StStockton, CA 95204-6019
Phone 209-547-7143
Mailing address
1800 N California StStockton, CA 95204-6019
Phone 209-547-7143
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