Shadid, Edward A

Shadid, Edward A is an individual health care provider with primary practice located at 5900 Mosteller Drive Suite 3, Oklahoma City OK 73112. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Shadid, Edward A can be contacted via phone (405) 840-5100.

Contact Information

Primary practice address
5900 Mosteller Drive Suite 3 Oklahoma City OK 73112
Phone: (405) 840-5100
Fax: (405) 840-5102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22294 Oklahoma
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 24801 Oklahoma

Profile Details

NPI number 1275572398
LBN Legal business name Shadid, Edward A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 1st, 2010 - about 16 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 1275572398 NPPES
Oklahoma MEDICAID 200194770A
Oklahoma MEDICAID 200026630A

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