Individual
DR. SHAHAB U KIDWAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 N FEDERAL HWY, SUITE 203, POMPANO BEACH, FL 33062-1022
(954) 783-0223
(954) 786-8628
Mailing address
2000 N FEDERAL HWY, SUITE 203, POMPANO BEACH, FL 33062-1022
(954) 783-0223
(954) 786-8628
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0036081
FL
2084N0400X
Neurology Physician
Primary
ME0036081
FL
Other
Enumeration date
09/30/2005
Last updated
04/17/2018
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