Look up the most recent NPI and PECOS records

Shenoda Gadalla

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Shenoda Gadalla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1134447345
Provider Type
Individual
Full Name
Gadalla, Shenoda
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/12/2010
Last Updated
3/22/2021

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136-1005

(305) 243-6837

Unlisted Fax

Mailing Location

PO Box 16960, Miami, FL 33101-6960

(305) 243-6837

(305) 243-8470

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME115315 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License TRN14936 Florida

Shenoda Gadalla

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Fernandez-Nosti, Yanelys R

Para, Andrew

Pavon Canseco, Aldo

Mendez, Paul E

Public Health Trust Of Dade County Florida

Gelbard, Mark A

Cusimano, Frank Anthony

Rubin, Phillip

Franco, Daniel Alfred

Avallone, Stephen V