Individual
DR. SHADI M BASHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 E CHEVES ST, FLORENCE, SC 29506-2708
(843) 669-6694
(843) 669-2500
Mailing address
101 S RAVENEL ST STE 120, FLORENCE, SC 29506-2619
(843) 777-7290
(843) 777-7280
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101018765
MI
207RN0300X
Nephrology Physician
Primary
DO37715
SC
Other
Enumeration date
06/30/2010
Last updated
02/01/2021
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