Individual
SHADI E OWEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1619 CREIGHTON RD STE A, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 444-7497
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-4700
(850) 444-7497
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35088500
OH
207RN0300X
Nephrology Physician
30678
AL
207RN0300X
Nephrology Physician
Primary
ME105291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001889800
—
FL
05
—
127528
—
AL
01
—
DB684Z
MEDICARE
FL
Enumeration date
03/15/2007
Last updated
07/01/2025
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