Haddadin, Shadi Maher

Haddadin, Shadi Maher is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Haddadin, Shadi Maher can be contacted via phone (573) 556-7718.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 556-7718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2008003781 Missouri

Profile Details

NPI number 1073611919
LBN Legal business name Haddadin, Shadi Maher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 10th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073611919 NPPES
Missouri Other 431560263 TRICARE WEST
Missouri Other P00724818 TRICARE WEST
Missouri MEDICAID 1073611919 TRICARE WEST

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