Active NPIIndividual provider

Dr. Shadi A Elmekkawi, DMD

Dentist in Malden, Massachusetts

NPI Number1457974198
Practice location
10 Summer St Apt 403, Malden, MA 02148-3927
Fax
—
Last updated
June 2, 2020

Shadi Ahmed Elmekkawi is a Dentist based in Malden, MA. Shadi Ahmed Elmekkawi practices in Malden, MA and has the professional credentials of DMD. The NPI Number for Shadi Ahmed Elmekkawi is 1457974198 and holds a License No. DN24903 (FL). The current practice location address for Shadi Ahmed Elmekkawi is 10 Summer St Apt 403, Malden, MA 02148-3927 and can be reached out via phone at 754-234-6971.

Provider Profile Details

NPI Number
1457974198
Provider Name
Shadi Ahmed Elmekkawi
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
10 Summer St Apt 403, Malden, MA 02148-3927
Phone Number
754-234-6971
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 27, 2020
Last Update Date
June 2, 2020
Certification Date
June 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Summer St Apt 403
Malden, MA 02148-3927
City
Malden
Zip
02148-3927
Phone Number
754-234-6971
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
10 Summer St Apt 403
Malden, MA 02148-3927
City
Malden
State
MA
Zip
02148-3927
Phone Number
754-234-6971

License Information

License Number (1)
DN24903
License State (1)
FL
Taxonomy (1)
Dentist · 122300000X
License Number (2)
DN1858646
License State (2)
MA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shadi A Elmekkawi, DMD?

The NPI number of Dr. Shadi A Elmekkawi, DMD is 1457974198. It was assigned on May 27, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Shadi A Elmekkawi, DMD?

Dr. Shadi A Elmekkawi, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in FL under license number DN24903.

Where does Dr. Shadi A Elmekkawi, DMD practice?

The practice location is 10 Summer St Apt 403, Malden, MA 02148-3927. The office can be reached at 754-234-6971 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457974198 directly on the NPPES registry website.

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