Individual
DR. SHADI ABOUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2343 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-4090
Mailing address
2343 W LINCOLN RD, KOKOMO, IN 46902-8012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01077095A
IN
Other
Enumeration date
11/18/2010
Last updated
05/17/2022
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