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Shadi M Resheidat, MD
Family Medicine Physician in Lafayette, Indiana
NPI 1790895571

Shadi M Resheidat is a Family Medicine Physician based in Lafayette, IN. Shadi M Resheidat practices in Lafayette, IN and has the professional credentials of MD. The NPI Number for Shadi M Resheidat is 1790895571 and holds a License No. 01058532A (Indiana).

The current practice location address for Shadi M Resheidat is 3554 Promenade Pkwy, Lafayette, IN and can be reached out via phone at 765-471-9146 and via fax at 765-477-0277.

Location: 3554 Promenade Pkwy, Lafayette, IN, 47903-4699
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790895571
Provider Name
Shadi M Resheidat
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3554 Promenade Pkwy, Lafayette, IN, 47903-4699
Phone Number
765-471-9146
Fax Number
765-477-0277
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000382394 01 IN ANTHEM PROVIDER NUMBER
200522260 05 IN
institution
Provider Business Practice Location Address Details
Address
3554 Promenade Pkwy
City
Lafayette
State
Indiana
Zip
47909-8418
Phone Number
765-471-9146
Fax Number
765-477-0277
person
Provider Business Mailing Address Details
Address
3554 Promenade Pkwy
City
Lafayette
State
Indiana
Zip
47909-8418
Phone Number
765-471-9146
Fax Number
765-477-0277
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01058532A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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