MEDICARE: ADEL M SHAHEEN MD

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
1	207RC0000X	Cardiovascular Disease Physician	35057167	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801969985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEL M SHAHEEN MD

Provider Business Mailing Address
First Line	:	PO BOX 1298
Second Line	:	770 W HIGH ST SUITE 370
City	:	LIMA
State	:	OH
Zip	:	45802
Country	:	US
Telephone Number	:	419-222-0189
Fax Number	:	419-225-8691

Provider Business Practice Location Address
First Line	:	770 W HIGH ST STE 210
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-5902
Country	:	US
Telephone Number	:	419-222-0189
Fax Number	:	419-225-8691

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/29/2022

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Directions to “ ADEL M SHAHEEN MD” Practice Location

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