Individual ProviderShadi AouadStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4246(607) 798-5726PECOS EnrollmentBased on the most recent information from CMS, provider Shadi Aouad is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1952899437Provider TypeIndividualFull NameAouad, ShadiTitleDr.CredentialDPMGenderMaleSole ProprietorNoEnumeration Date4/30/2018Last Updated5/10/2022Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4246Phone(607) 798-5726FaxUnlisted FaxMailing LocationMailing Address169 Riverside Dr, Binghamton, NY 13905-4246Phone(607) 798-5726FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerNew YorkCode213ES0103XDescriptionPodiatristPodiatric Medicine & Surgery Service ProvidersLicense007183New York