SHADI EDALATI


Address: 1060 W Campbell Rd Ste 300, Richardson, TX 75080
Phone: 9724464388

SHADI EDALATI (NPI# 1306071022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306071022
Entity Type Individual
Full Name SHADI EDALATI
Credential MD
Practice Address 1060 W Campbell Rd Ste 300
Richardson
TX 75080
Mailing Address 1060 W Campbell Rd Ste 300
Richardson
TX 75080-3000
Practice Telephone 9724464388
Mailing Telephone 9724464388
Mailing Fax Number 4044947405
Enumeration Date 2009-05-26
Last Update Date 2018-05-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine R2088 TX Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 27180 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 1060 W CAMPBELL RD STE 300
City RICHARDSON
State TX
Zip Code 75080

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740831148 Careatc Clinic/Center 1060 W Campbell Rd Ste 300, Richardson, TX 75080-3000 2019-09-26
1366996134 Careatc-richardson-14249-60 Clinic/Center 1060 W Campbell Rd Ste 300, Richardson, TX 75080-2941 2016-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684717 Ragan Jones Morales Counselor 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 2020-09-23
1316556996 Medex Diagnostic Services Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 811 South Central Expressway, Suite #516, Richardson, TX 75080 2020-07-29
1083109342 Amy Viloria Occupational Therapy Assistant 417 W Arapaho Rd, Richardson, TX 75080 2018-06-28
1194228437 Lesley Ellsworth Hall Counselor Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 2018-03-13
1538686233 Apex Imaging Inc Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1701 N Collins Blvd Ste 230, Richardson, TX 75080 2017-08-24
1326565292 Go Operations 6 LLC Skilled Nursing Facility 1610 Richardson Drive, Richardson, TX 75080 2017-08-23
1093231649 Twitches Iom Pllc Electrodiagnostic Medicine 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 2017-08-16
1639690340 Faith Mbarathi Technician, Other 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 2017-07-03
1063933083 Drew Marie Harvick Technician, Other 1702 North Collins Blvd Suite 250, Richardson, TX 75080 2017-06-29
1114447026 Brenda Marie Fitzgerald Massage Therapist 100 S. Central Expressway, #43, Richardson, TX 75080 2017-06-21
Find all providers in zip 75080

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225650468 Vital Physician House Calls LLC Family Medicine 50 Business Pkwy Ste A, Richardson, TX 75081-5047 2020-05-11
1285122119 Michelle Thuy Lor Family Medicine 3413 Spectrum Blvd # 100, Richardson, TX 75082-9705 2018-04-26
1356872170 Kevan Lutchman Family Medicine 201 Long Canyon Ct, Richardson, TX 75080-2669 2017-03-23
1467815043 Naga Sai Venkata Hanumantha Rao Madhavapeddi Family Medicine 1120 W Campbell Rd Ste 109, Richardson, TX 75080-2978 2016-04-01
1558720383 Addis Family Clinic Professional LLC Family Medicine 2135 Buckingham Rd, Richardson, TX 75081-5459 2016-02-22
1912319427 John Weaver Family Medicine 2821 E President George Bush Hwy Ste 404, Richardson, TX 75082 2014-06-02
1104159177 Elizabeth Corich Bradshaw Family Medicine 406 Provincetown Ln, Richardson, TX 75080-3421 2009-09-09
1306005582 Jim P Hussey Dopa Family Medicine 399 W Campbell Rd Ste 204, Richardson, TX 75080-3606 2008-06-03
1508065855 Jimmy Dee Baugh II Family Medicine 3661 N Plano Rd Ste 3000, Richardson, TX 75082-2029 2007-07-17
1558432013 Brenda A. Stein Family Medicine 1803 N Waterview Dr, Richardson, TX 75080-2938 2006-11-13
Find all providers in RICHARDSON

Competitor

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City RICHARDSON
Zip Code 75080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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