Shadid, Edward A
Shadid, Edward A is an individual health care provider with primary practice located at 5900 Mosteller Drive Suite 3, Oklahoma City OK 73112. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Shadid, Edward A can be contacted via phone (405) 840-5100.Contact Information
Primary practice address
5900 Mosteller Drive Suite 3
Oklahoma City OK 73112
Phone: (405) 840-5100
Fax: (405) 840-5102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 22294 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 24801 | Oklahoma |
Profile Details
| NPI number | 1275572398 |
|---|---|
| LBN Legal business name | Shadid, Edward A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Mar 1st, 2010 - about 15 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 | 1275572398 | NPPES |
| Oklahoma | MEDICAID | 200194770A | |
| Oklahoma | MEDICAID | 200026630A |
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