Individual
SHIREEN F GADALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 SILVER PALM AVE, SUITE B, MELBOURNE, FL 32901-3177
(321) 725-4150
(321) 733-1335
Mailing address
25 SILVER PALM AVE, SUITE B, MELBOURNE, FL 32901-3177
(321) 725-4150
(321) 733-1335
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME79573
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256496300
—
FL
Enumeration date
09/20/2006
Last updated
07/08/2007
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