Shadani, Abdul R
Shadani, Abdul R is an sole proprietor health care provider with primary practice located at 2215 Nebraska Ave Ste 1B2, Fort Pierce FL 34950-4897. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Shadani, Abdul R can be contacted via phone (772) 466-7171.Contact Information
Primary practice address
2215 Nebraska Ave Ste 1B2
Fort Pierce FL 34950-4897
Phone: (772) 466-7171
Fax: (772) 466-7266
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME40659 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME0040659 | Florida |
Profile Details
| NPI number | 1467593681 |
|---|---|
| LBN Legal business name | Shadani, Abdul R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jun 13th, 2013 - about 11 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 | 1467593681 | NPPES |
| Florida | MEDICAID | 0683500700 |
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