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:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1326074030 | NPPES |
| New Jersey | MEDICAID | 0043923 |
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