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
Fax: (772) 466-7266
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467593681 NPPES
Florida MEDICAID 0683500700

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