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Individual

DR. SHADI HAMDAN

Active
Find providers by NPI
Individual

DR. SHADI HAMDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60658
WI
207RH0003X
Hematology & Oncology Physician
Primary
60658
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12518401
CAQH/ REF NUMBER FOR BLUE CROSS BLUE SHILED
WI
Enumeration date
08/13/2007
Last updated
10/21/2015
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