Provider Demographics
NPI:1306096094
Name:ELDAKAR-HEIN, SHADEN TONSI (MD)
Entity type:Individual
Prefix:
First Name:SHADEN
Middle Name:TONSI
Last Name:ELDAKAR-HEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHADEN
Other - Middle Name:TONSI
Other - Last Name:ELDAKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:800 OSTRUM ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1015
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 OSTRUM ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1015
Practice Address - Country:US
Practice Address - Phone:484-526-3383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-30
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD439383207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine