SHADI MOHAMAD CHAMSEDDINE MD
NPI 1780438440
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Shadi Mohamad Chamseddine's NPI number?

The NPI number for Shadi Mohamad Chamseddine is 1780438440. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Q: What is Shadi Mohamad Chamseddine's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 17, 2024PECOS Enrolled

4201 SAINT ANTOINE ST STE 9C, DETROIT, MI 48201(313) 745-4627 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shadi Mohamad Chamseddine Md NPPES

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

SHADI MOHAMAD CHAMSEDDINE MD (NPI 1780438440) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780438440

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSHADI MOHAMAD CHAMSEDDINECredential: MD

Location Address4201 SAINT ANTOINE ST STE 9CDetroit, MI 48201-2153

Mailing Address4201 Saint Antoine St Ste 9cDetroit, MI 48201-2153 · (313) 745-5147

Phone(313) 745-4627

Sole ProprietorNo

Enumeration DateApril 17, 2024

NPPES CertifiedApril 17, 2024

✔ NPI 1780438440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

4201 SAINT ANTOINE ST STE 9C, Detroit, MI 48201

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadi Mohamad Chamseddine Md 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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIKANDER CHOHAN MD

Student in an Organized Health Care Education/Training Program