Jurdi, Shadi R

Jurdi, Shadi R is an individual health care provider with primary practice located at 1030 Refugee Rd Ste 296 , Pickerington OH 43147-0047. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Jurdi, Shadi R can be contacted via phone (614) 788-4300.

Contact Information

Primary practice address
1030 Refugee Rd Ste 296 Pickerington OH 43147-0047
Fax: (614) 533-0191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 47940 Kentucky
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35.131462 Ohio

Profile Details

NPI number 1427218064
LBN Legal business name Jurdi, Shadi R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Jan 25th, 2022 - about 2 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 1427218064 NPPES
Ohio MEDICAID 02400009

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