Active NPI
Shadi Adib Bashai
- Student in an Organized Health Care Education/Training Program
- Charleston, WV
National Provider Identifier
1144833823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- IN0009782
- Practice address
- 743 1/2 Washington St W
Charleston, WV 25302-1844 - Phone
- (786) 859-3616
- NPI assigned
- Aug 24, 2020
- Last updated
- Aug 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IN0009782 | WV | Primary |
Addresses
Primary practice location
743 1/2 Washington St W
Charleston, WV 25302-1844
Mailing address
743 1/2 Washington St W
Charleston, WV 25302-1844
Phone (786) 859-3616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN0009782 | WV | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1144833823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 1/2 WASHINGTON ST W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253021844",
"telephone_number": "786-859-3616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 1/2 WASHINGTON ST W",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "253021844",
"telephone_number": "786-859-3616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASHAI",
"first_name": "SHADI",
"middle_name": "ADIB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-26",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WV",
"license": "IN0009782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.