Abu-Halimah, Shadi J

Abu-Halimah, Shadi J is an individual health care provider with primary practice located at 415 Morris St Suite 105, Charleston WV 25301-1842. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Abu-Halimah, Shadi J can be contacted via phone (304) 388-6412.

Contact Information

Primary practice address
415 Morris St Suite 105 Charleston WV 25301-1842
Phone: (304) 388-6412
Fax: (304) 388-6416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 49476 Kentucky
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 23745 West Virginia

Profile Details

NPI number 1144415290
LBN Legal business name Abu-Halimah, Shadi J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Jul 1st, 2021 - about 4 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 1144415290 NPPES
West Virginia MEDICAID 3810021280

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