Shawahin, Nidal

Shawahin, Nidal is an individual health care provider with primary practice located at 4600 Memorial Dr Ste. 360, Belleville IL 62226-5368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Shawahin, Nidal can be contacted via phone (618) 222-7280.

Contact Information

Primary practice address
4600 Memorial Dr Ste. 360 Belleville IL 62226-5368
Phone: (618) 222-7280
Fax: (618) 222-7281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036087648 Illinois

Profile Details

NPI number 1245236884
LBN Legal business name Shawahin, Nidal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Feb 12th, 2021 - 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 1245236884 NPPES
Illinois MEDICAID 036087648

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