Provider Demographics
NPI:1770197956
Name:CHEDID, IMANE
Entity Type:Individual
Prefix:DR
First Name:IMANE
Middle Name:
Last Name:CHEDID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SHEIKH SHAKNBOUT MEDICAL CITY
Mailing Address - Street 2:
Mailing Address - City:ABU DHABI
Mailing Address - State:ABU DHABI
Mailing Address - Zip Code:11001
Mailing Address - Country:AE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:SHEIKH SHAKNBOUT MEDICAL CITY
Practice Address - Street 2:
Practice Address - City:ABU DHABI
Practice Address - State:ABU DHABI
Practice Address - Zip Code:11001
Practice Address - Country:AE
Practice Address - Phone:971-231-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116034593207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine