Individual
FADI ABU SHAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8931 COLONIAL CENTER DR, SUITE 400, FORT MYERS, FL 33905-7809
(239) 334-6626
(239) 334-0404
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-2123
(239) 343-2124
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
ME104963
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001279900
MEDICAID
FL
01
—
1002617
WELLCARE-MEDICARE AND MEDICAID
FL
01
—
145ZM
BCBS FL
FL
01
—
3377068
CIGNA
FL
Enumeration date
05/04/2008
Last updated
12/30/2025
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