Doctor Name: | DR. NADER HAROUN SHEHATA |
NPI Number: | 1972510436 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME82312 |
Business Practice Address: | 4601 Sheridan St Suite 100 Hollywood, FL - 330213440 |
Business Phone Number: | 9549647979 |
Business Fax Number: | 9549645818 |
Mailing Address: | 2055 S Us Highway 1, VERO BEACH |
State: | FL |
Postal Code: | 329627206 |
Phone Number: | 7727940030 |
Fax Number: | 7727940379 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME82312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |