MR. ABDUL R SHADANI (NPI# 1467593681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467593681 |
| Entity Type | Individual |
| Full Name | MR. ABDUL R SHADANI |
| Credential | MD |
| Practice Address |
2215 Nebraska Ave Ste 1b2 Fort Pierce FL 34950-4897 |
| Mailing Address |
2215 Nebraska Ave Suite 1b2 Ft Plierce FL 34950-4897 |
| Practice Telephone | 7724667171 |
| Practice Fax Number | 7724667266 |
| Mailing Telephone | 7724667171 |
| Mailing Fax Number | 7724667266 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-06-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME40659 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME0040659 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0683500700 | 05 |
| Street Address |
2215 NEBRASKA AVE STE 1B2 |
| City | FORT PIERCE |
| State | FL |
| Zip Code | 34950-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261472 | Ibrahim Bohsali | Otolaryngology | 2215 Nebraska Ave, Ste 1-d, Fort Pierce, FL 34950-4864 | 2005-08-02 |
| 1215314018 | Pramod Joseph Md LLC | Internal Medicine | 2215 Nebraska Ave, Ste 1a, Fort Pierce, FL 34950-4864 | 2015-04-30 |
| 1245663038 | Suzanne Elizabeth Runge | Nurse Practitioner | 2215 Nebraska Ave, Suite 2e, Fort Pierce, FL 34950-4864 | 2013-08-15 |
| 1740527282 | Darshan Aggarwal Md Pa | Specialist | 2215 Nebraska Ave, Suite 2b, Fort Pierce, FL 34950-4864 | 2013-01-03 |
| 1316209661 | Richard J Morgan Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2215 Nebraska Ave, Suite 3c, Fort Pierce, FL 34950-4864 | 2012-06-12 |
| 1659658896 | Sanjiv Walia Md Pa | Internal Medicine | 2215 Nebraska Ave, Suite 1f2, Fort Pierce, FL 34950-4864 | 2011-11-15 |
| 1720222102 | Pramod Joseph | Internal Medicine | 2215 Nebraska Ave, Suite 1a, Fort Pierce, FL 34950-4864 | 2009-04-29 |
| 1871782268 | Chintan B Shah | Family Medicine | 2215 Nebraska Ave, Ste 2b, Fort Pierce, FL 34950-4864 | 2007-10-22 |
| 1134250509 | Surgical Specialist of Treasure Coast Pa | Surgery | 2215 Nebraska Ave, Suite 1a, Fort Pierce, FL 34950 | 2007-03-08 |
| 1649308727 | Tummala R Prasad | Internal Medicine | 2215 Nebraska Ave, #2a, Fort Pierce, FL 34950 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659853018 | New Day Counseling & Wellness, LLC | Clinic/Center | 130 S Indian River Drive Suite 202, Fort Pierce, FL 34950 | 2018-09-03 |
| 1548749351 | Jaber's Pharmacy, Inc. | Pharmacy | 2210 Orange Ave, Fort Pierce, FL 34950 | 2018-08-13 |
| 1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
| 1629573134 | Southeastern Dme LLC | Durable Medical Equipment & Medical Supplies | 200 S Indian River Dr Ste 300, Fort Pierce, FL 34950 | 2018-03-27 |
| 1962903666 | Serenity Dme LLC | Durable Medical Equipment & Medical Supplies | 111 N 2nd St Ste 101, Fort Pierce, FL 34950 | 2018-02-27 |
| 1417463068 | Ryan Nippes | Counselor | 1302 N Lawnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1639685282 | Valencia Worrell | Counselor | 1302 N Lswnwood Cr, Suite B, Fort Pierce, FL 34950 | 2017-12-19 |
| 1194173153 | Angel French | Massage Therapist | 101 North Us1, Suite 117, Fort Pierce, FL 34950 | 2016-06-01 |
| 1780052951 | Alison Hess | Physician Assistant | 1700 S. 23rd St, Fort Pierce, FL 34950 | 2015-09-04 |
| 1629329784 | Dr. Rhaina A Smeds, Psyd Inc. | Psychologist | 100 Ave A, Ste 2d, Ft. Pierce, FL 34950 | 2012-09-28 |
| Find all providers in zip 34950 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679673057 | Jacques J Lamothe | Internal Medicine | 1900 Nebraska Ave Ste 9, Fort Pierce, FL 34950-4837 | 2006-09-25 |
| 1992782577 | Ziad M Marjieh | Internal Medicine | 2100 Nebraska Ave, Suite 105, Fort Pierce, FL 34950-4704 | 2005-12-27 |
| 1174516017 | Kamalakar T Rao | Internal Medicine | 1900 Nebraska Avenue, Suite 9, Fort Pierce, FL 34950-4837 | 2005-08-25 |
| 1629235247 | Fady H Geha | Internal Medicine | 1900 Nebraska Ave, Suite 9, Fort Pierce, FL 34950-4837 | 2008-05-21 |
| 1710091426 | Venu G Jasti | Internal Medicine | 1900 Nebraska Avenue, Suite 9, Fort Pierce, FL 34950-4837 | 2006-08-18 |
| 1437192614 | Ziad Michel Marjieh M D P A | Internal Medicine | 2100 Nebraska Ave, Fort Pierce, FL 34950-4831 | 2006-06-14 |
| 1295787794 | Lawrence G Oliver | Internal Medicine | 1900 Nebraska Ave, Suite 9, Fort Pierce, FL 34950-4837 | 2006-05-16 |
| 1760440440 | Florida Heart Center, Pa | Internal Medicine | 1900 Nebraska Ave, Suite 9, Fort Pierce, FL 34950-4837 | 2006-05-03 |
| 1104896026 | Marcy Ann Studzinski | Internal Medicine | 1900 Nebraska Avenue, Suite 9, Fort Pierce, FL 34950-4837 | 2006-01-24 |
| 1760477269 | Prasad Vrk Chalasani | Internal Medicine | 1900 Nebraska Avenue, Suite 9, Fort Pierce, FL 34950-4837 | 2005-09-12 |
| Find all providers in FORT PIERCE | ||||
| City | FORT PIERCE |
| Zip Code | 34950 |
Please comment or provide details below to improve the information on MR. ABDUL R SHADANI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.