SERENE SHEHADEH MD, MPH
NPI 1366293854
Student in an Organized Health Care Education/Training Program in Coconut Creek, FL

Active since April 01, 2024PECOS Enrolled
3784 COCO LAKE DR, COCONUT CREEK, FL 33073(954) 598-5762 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Serene Shehadeh Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERENE SHEHADEH MD, MPH (NPI 1366293854) is an individual student in an organized health care education/training program in Coconut Creek, Florida and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366293854
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSERENE SHEHADEHCredential: MD, MPH
Location Address3784 COCO LAKE DRCoconut Creek, FL 33073-4143
Mailing Address3784 Coco Lake DrCoconut Creek, FL 33073-4143
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
NPI 1366293854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3784 COCO LAKE DR, Coconut Creek, FL 33073

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Serene Shehadeh Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366293854, enumerated as an "individual" on April 01, 2024.

The provider is located at 3784 COCO LAKE DR COCONUT CREEK, FL 33073 and the phone number is (954) 598-5762.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.