Shaden Daloub, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Huntington, West Virginia. His current practice location is
1600 Medical Center Dr, Huntington, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 691-1824.
Shaden Daloub is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679144281.
Physician's Profile
Full Name | Shaden Daloub |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1600 Medical Center Dr, Huntington, West Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679144281
- Provider Enumeration Date: 07/06/2021
- Last Update Date: 07/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204232614
- Enrollment ID: I20210910000904
Medical Identifiers
Medical identifiers for Shaden Daloub such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679144281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RC0000X | Internal Medicine - Cardiovascular Disease | 9411701 (Kansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaden Daloub is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shaden Daloub, 3901 Rainbow Blvd # Ms 3006, Kansas City, KS 66160-8500 Ph: (913) 588-3827 | Shaden Daloub, 1600 Medical Center Dr, Huntington, WV 25701-3656 Ph: (304) 691-1824 |
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