Provider Demographics
NPI:1033526090
Name:CHADI, AHMED SAMI (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:SAMI
Last Name:CHADI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1259 FAIRLAKE TRCE
Mailing Address - Street 2:APT 208
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2882
Mailing Address - Country:US
Mailing Address - Phone:954-249-4600
Mailing Address - Fax:
Practice Address - Street 1:2950 CLEVELAND CLINIC BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3609
Practice Address - Country:US
Practice Address - Phone:954-249-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN19567208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery