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Contact Information

SHADI ZAKHOUR
451 S PARK RIDGE RD # 101
BLOOMINGTON, IN47401-8589
 Phone: 812-747-9384
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for SHADI ZAKHOUR · (Male)

NPI # 1770456253
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2025
Last updated 09/29/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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