Shahidi, Hosseinali

Shahidi, Hosseinali is an individual health care provider with primary practice located at 150 Bergen St Er Department, Newark NJ 07103-2496. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Shahidi, Hosseinali can be contacted via phone (973) 972-5128.

Contact Information

Primary practice address
150 Bergen St Er Department Newark NJ 07103-2496
Phone: (973) 972-5128
Fax: (973) 972-6646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 25MA07661900 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07661900 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07661900 New Jersey

Profile Details

NPI number 1326074030
LBN Legal business name Shahidi, Hosseinali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated May 31st, 2022 - about 3 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 1326074030 NPPES
New Jersey MEDICAID 0043923

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