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

SHADI M RESHEIDAT, MD

Active

SHADI M RESHEIDAT, MD is a Family Medicine healthcare provider located in LAFAYETTE, Indiana. NPI 1790895571 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LAFAYETTE, IN

Registration Details

NPI Number
1790895571
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2006 (19.953290363088 yrs)
Last Updated
Mar 23, 2021
License
01058532A (IN)

Practice Information

Address
3554 PROMENADE PKWY
SUITE F
LAFAYETTE, IN, 479098418
Browse IN providers · Browse ZIP 47909
Phone
7654719146
Fax
7654770277
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in LAFAYETTE, IN

Name Credential NPI
DR. JERRY M WEIDA MD 1821083288
DR. CLIFFORD J SONDGERATH MD 1699760066
WANDA LEATHERMAN ESTEP M.D. 1386632644
PHILIP E KELLER MD 1972585131
TAMARA LOEWEN HAZBUN MD 1568448876
DR. JEFFREY WILLIAMS D.O. 1780661074
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.