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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHADI ZAKHOUR

Active Sole Proprietor

SHADI ZAKHOUR is a Developmental Disabilities Clinic healthcare provider located in BLOOMINGTON, Indiana. NPI 1770456253 is currently active in the NPPES registry. Verify at CMS.

Developmental Disabilities Clinic · BLOOMINGTON, IN

Registration Details

NPI Number
1770456253
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2025 (0.88407407888442 yrs)
Last Updated
Sep 29, 2025
Sole Proprietor
Yes

Practice Information

Address
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN, 474018589
Browse IN providers · Browse ZIP 47401
Phone
8127479384
Primary Specialty
Developmental Disabilities Clinic
261QD1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.