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1922502921

NPI Code Detail

MEDICARE: WADE SHEHADEH JODEH MD

MEDICARE: WADE SHEHADEH JODEH 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	207R00000X	Internal Medicine Physician	4301504592	MI
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	35.150934	OH
4	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	01087565A	IN
5	207R00000X	Internal Medicine Physician	35.150934	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	:	1922502921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WADE SHEHADEH JODEH MD

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE # MS 1108
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2598
Country	:	US
Telephone Number	:	419-383-5023
Fax Number	:	419-383-2000

Provider Business Practice Location Address
First Line	:	2100 W CENTRAL AVE STE 200
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3817
Country	:	US
Telephone Number	:	567-420-1600
Fax Number	:	567-420-1633

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

Provider Enumeration Date	:	03/23/2018
Last Update Date	:	01/12/2026

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Directions to “ WADE SHEHADEH JODEH MD” 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.

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