Provider Demographics
NPI:1235439308
Name:ABDUL-HADI, SHAHID
Entity Type:Individual
Prefix:
First Name:SHAHID
Middle Name:
Last Name:ABDUL-HADI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 MARYLAND AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-7606
Mailing Address - Country:US
Mailing Address - Phone:202-398-6900
Mailing Address - Fax:202-396-0994
Practice Address - Street 1:1601 MARYLAND AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-7606
Practice Address - Country:US
Practice Address - Phone:202-398-6900
Practice Address - Fax:202-396-0994
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-23
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC100000826183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist