DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. SHADA GHNAIM DMD

MEDICARE: DR. SHADA GHNAIM DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistDN24230FL

General Provider Information

NPI Number : 1013579929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHADA GHNAIM DMD
Provider Business Mailing Address
First Line : 6803 BROOKHAVEN PL
Second Line :
City : BRADENTON
State : FL
Zip : 34203-8828
Country : US
Telephone Number : 941-592-7795
Fax Number :
Provider Business Practice Location Address
First Line : 7341 W SAND LAKE RD STE 1065
Second Line :
City : ORLANDO
State : FL
Zip : 32819-5311
Country : US
Telephone Number : 407-781-0386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2019
Last Update Date : 03/20/2023

Similar Medicare Providers

1982643839 — PUBLIX SUPER MARKETS INC
Practice Location Address:
2015 EDGEWATER DR
ORLANDO, FL
32804-5311
Practice Phone: 407-872-0282
Practice Fax: 407-872-7594
1043557101 — TUYET NGOC LE PHARMACIST
Practice Location Address:
2015 EDGEWATER DR
ORLANDO, FL
32804-5311
Practice Phone: 407-872-0282
Practice Fax:
1215274394 — SARAH W ELERICK PHARMD
Practice Location Address:
2015 EDGEWATER DR
ORLANDO, FL
32804-5311
Practice Phone: 407-872-0282
Practice Fax:
1962749853 — DR. JENNIFER BROWN MALLOY PHARM. D.
Practice Location Address:
2015 EDGEWATER DR
ORLANDO, FL
32804-5311
Practice Phone: 407-872-0282
Practice Fax: 407-872-7594
1639600612 — LYNETTE JONES PHARMD
Practice Location Address:
2015 EDGEWATER DR
ORLANDO, FL
32804-5311
Practice Phone: 407-872-0173
Practice Fax:
1164934006 — MS. STEPHANIE CARMEN OBERWEGER PA-C
Practice Location Address:
8124 CHIANTI DR
ORLANDO, FL
32836-5311
Practice Phone: 407-797-3630
Practice Fax:

Directions to “ DR. SHADA GHNAIM DMD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.