Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 68155 | MN |
N | 207W00000X | Ophthalmologist | HSE27702 | FL |
NPI | 1023500584 |
---|---|
Provider Name | Huda Sheheitli |
First Address | Minneapolis, MN 55455-0356 |
Second Address | Minneapolis, MN 55455-0356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2018 |
Last Update Date | 21/06/2021 |