Provider Demographics
NPI:1285892364
Name:SHAKER, ADEL (MD)
Entity type:Individual
Prefix:DR
First Name:ADEL
Middle Name:
Last Name:SHAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 CHANDLER RD SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-1410
Mailing Address - Country:US
Mailing Address - Phone:256-880-9253
Mailing Address - Fax:
Practice Address - Street 1:1521 S STAPLES ST STE 404
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3152
Practice Address - Country:US
Practice Address - Phone:361-852-7248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26966207ZF0201X, 207ZP0101X, 209800000X, 208D00000X
TXP1022208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine