Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shadi Zakhour

Individual provider Developmental Disabilities Clinic/Center · NPI 1770456253

Shadi Zakhour is a Developmental Disabilities Clinic/Center in Bloomington, Indiana. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

451 S Park Ridge Rd # 101
Bloomington, IN 47401-8589
Phone: (812) 747-9384
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1770456253
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

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