Hamdan, Shadi

Hamdan, Shadi is an individual health care provider with primary practice located at 3100 Shore Dr , Marinette WI 54143-4242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Hamdan, Shadi can be contacted via phone (715) 735-4200.

Contact Information

Primary practice address
3100 Shore Dr Marinette WI 54143-4242
Phone: (715) 735-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 60658 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 60658 Wisconsin

Profile Details

NPI number 1801088992
LBN Legal business name Hamdan, Shadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2007
Last updated Oct 21st, 2015 - about 9 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 1801088992 NPPES
Wisconsin Other 12518401 CAQH/ REF NUMBER FOR BLUE CROSS BLUE SHILED

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