SHADI M RESHEIDAT

LAFAYETTE, IN
NPI1790895571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01058532A)
Enumeration Date2006-08-30
Last Update Date2021-03-23
Business Address
SHADI M RESHEIDAT MD
3554 PROMENADE PKWY SUITE F
LAFAYETTE, IN 47909-8418
Phone number: 765-471-9146
Mailing Address
SHADI M RESHEIDAT MD
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-449-2732
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