| Doctor Name: | DR. FUAD SHATILA |
| NPI Number: | 1043393531 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME27115 |
| Business Practice Address: | 2232 Willborn Ave South Boston, VA - 24592 |
| Business Phone Number: | 4345173705 |
| Business Fax Number: | |
| Mailing Address: | 1861 E Northern Parkway, BALTIMORE |
| State: | MD |
| Postal Code: | 212392107 |
| Phone Number: | 4437631170 |
| Fax Number: | |
| NPI Enumeration Date: | 10/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | ME27115 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |