Shadzeka, Edwin
Shadzeka, Edwin is an individual health care provider with primary practice located at 4314 Rustling Leaves Ter , Bowie MD 20716-3608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shadzeka, Edwin can be contacted via phone (301) 806-2461.Contact Information
Primary practice address
4314 Rustling Leaves Ter
Bowie MD 20716-3608
Phone: (301) 806-2461
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD432750 | Pennsylvania |
Profile Details
| NPI number | 1124213459 |
|---|---|
| LBN Legal business name | Shadzeka, Edwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2007 |
| Last updated | May 24th, 2016 - about 8 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 | 1124213459 | NPPES |
| Pennsylvania | MEDICAID | 101998675 |
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