Gadallah, Shireen F
Gadallah, Shireen F is an sole proprietor health care provider with primary practice located at 25 Silver Palm Ave Suite B, Melbourne FL 32901-3177. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Gadallah, Shireen F can be contacted via phone (321) 725-4150.Contact Information
Primary practice address
25 Silver Palm Ave Suite B
Melbourne FL 32901-3177
Phone: (321) 725-4150
Fax: (321) 733-1335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME79573 | Florida |
Profile Details
| NPI number | 1700983863 |
|---|---|
| LBN Legal business name | Gadallah, Shireen F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1700983863 | NPPES |
| Florida | MEDICAID | 256496300 |
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