| Shahab U Kidwai Md Pa | |
|
2000 North Federal Highway 203 Pompano Beach FL 33062 | |
| (954) 783-0222 | |
| Not Available |
| Full Name | Shahab U Kidwai Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2000 North Federal Highway, Pompano Beach, Florida |
| Authorized Official Name and Position | Najma Kidwai (MANAGER) |
| Authorized Official Contact | 9547830222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahab U Kidwai Md Pa 2000 North Federal Highway 203 Pompano Beach FL 33062 Ph: (954) 783-0222 | Shahab U Kidwai Md Pa 2000 North Federal Highway 203 Pompano Beach FL 33062 Ph: (954) 783-0222 |
| NPI Number | 1528212628 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 01/02/2009 |
| Medicare PECOS PAC ID | 1658725890 |
|---|---|
| Medicare Enrollment ID | O20230921003598 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528212628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME0036081 (Florida) | Primary |
| Provider Name | Shahab U Kidwai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780671263 PECOS PAC ID: 3375529787 Enrollment ID: I20040626000220 |
| Provider Name | Siddharth H Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174510358 PECOS PAC ID: 0244122182 Enrollment ID: I20051206000939 |
| Provider Name | John S Maarouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497174478 PECOS PAC ID: 1658679972 Enrollment ID: I20180412002244 |
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