Heidar Osama Abdelwahab Shahin, BDS, MSC, PHD

Primary specialty

DentistTaxonomy code 122300000X

License

DTP790 Issued in FL

Practice address

1395 Center Dr
Gainesville, FL 32610-3006

Phone

(352) 273-5801

Fax

(352) 392-3070

NPI assigned

Jul 11, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Networks

• FL HMO C-SNP

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1013695832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "352-273-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103006",
            "telephone_number": "352-273-5801",
            "fax_number": "352-392-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIN",
        "first_name": "HEIDAR",
        "middle_name": "OSAMA ABDELWAHAB",
        "name_prefix": "Dr.",
        "credential": "BDS, MSC, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DTP790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehrnoosh Shahgholianghahfarokhi, MD
• Abdul Qudoos Shahid, M.D.
• Malik Shahid, M.D
• Zain Shahid, M.D.
• Alexis Mitra Shahidi, MD, MPH
• Abbas Shahmohammadi, M.D.
• Sadiq S Shaik, M.D.
• Raisa Shaikh, PHARM D.
• Rami Mahmoud Shaker, MD
• Khalid Shakoor, DOM

• Dentist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.