Shadi M Resheidat in Lafayette - Family Medicine
Shadi M Resheidat - NPI 1790895571
Shadi M Resheidat is a Family Medicine in Lafayette, Indiana. Shadi M Resheidat practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shadi M Resheidat is 1790895571. The last update date is 2021-03-23.
Shadi M Resheidat's current location address is 3554 Promenade Pkwy, Lafayette, Indiana. You can contact this provider via phone number 7654719146 and fax number 7654770277. The mailing address for Shadi M Resheidat is 3554 Promenade Pkwy, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shadi M Resheidat |
|---|---|
| Address | 3554 Promenade Pkwy, Lafayette, Indiana |
| Phone Number | 7654719146 |
| Fax Number | 7654770277 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790895571 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2021-03-23 |
Provider Mailing Address Detail
| Address | 3554 Promenade Pkwy |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479098418 |
| Phone Number | 7654719146 |
| Fax Number | 7654770277 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01058532A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 382394 | IN | ANTHEM PROVIDER NUMBER | |
| 200522260 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shadi M Resheidat by the Centers for Medicare & Medicaid Services?
The Shadi M Resheidat has been assigned the NPI (National Provider Identifier) 1790895571. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shadi M Resheidat is physically located?
The Shadi M Resheidat is physically situated at the following address: 3554 Promenade Pkwy, Lafayette, IN, 479098418.
What is Shadi M Resheidat's area of expertise and its corresponding taxonomy classification?
The Shadi M Resheidat's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1790895571 to Shadi M Resheidat?
The Centers for Medicare & Medicaid Services assigned the 1790895571 to Shadi M Resheidat on 2006-08-30.
As of what date were the details related to Shadi M Resheidat most recently updated or revised?
The information pertaining to Shadi M Resheidat, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-23.
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