A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI # | 1659384360 |
| LBN Legal business name | MEDWELL LLC |
| Authorized official | MANOUCHEHR SHAHAB - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/14/2006 |
| Last updated | 11/12/2008 - About 18 years ago |
| Identifiers | n/a |
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MEDWELL LLC
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