David, Shukri Wadi
David, Shukri Wadi is an individual health care provider with primary practice located at 22250 Providence Dr Ste # 705, Southfield MI 48075-4825. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. David, Shukri Wadi can be contacted via phone (248) 552-9858.Contact Information
Primary practice address
22250 Providence Dr Ste # 705
Southfield MI 48075-4825
Phone: (248) 552-9858
Fax: (248) 552-9510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301048135 | Michigan |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35057974 | Ohio |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 4301048135 | Michigan |
Profile Details
| NPI number | 1255315347 |
|---|---|
| LBN Legal business name | David, Shukri Wadi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jan 13th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255315347 | NPPES |
| Michigan | MEDICAID | 2640732 |
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