Shadur, Craig Alan

Shadur, Craig Alan is an individual health care provider with primary practice located at 1215 Pleasant Street Suite 100, Des Moines IA 50309-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Shadur, Craig Alan can be contacted via phone (515) 241-5710.

Contact Information

Primary practice address
1215 Pleasant Street Suite 100 Des Moines IA 50309-1409
Phone: (515) 241-5710
Fax: (515) 241-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 20221 Iowa

Profile Details

NPI number 1851354674
LBN Legal business name Shadur, Craig Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1851354674 NPPES
Iowa MEDICAID 0030403

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