Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Idara John Edem, MD, MSC, FRCPC

Individual provider Neurological Surgery Physician · NPI 1619524709

Idara John Edem, MD, MSC, FRCPC is a Neurosurgery in Flint, Michigan. Qualified in 2013, 13 years ago. Practices with Jawad a Shah MD PC, a 90-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4800 S Saginaw St Ste 1800
Flint, MI 48507-2677
Phone: (810) 732-8336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 4301502929 (MI)

Record details

NPI number1619524709
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MSC , FRCPC
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Jawad A Shah Md Pc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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