Ibrahim Shuaib
Periodontist
2516 72nd St
East Elmhurst
, New York 11370-1415
Ibrahim Shuaib
Periodontist
2516 72nd St
East Elmhurst
, New York 11370-1415
(929) 655-9974
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Ibrahim Shuaib
- 2516 72nd St
- East Elmhurst, NY
- Zip : 11370-1415
- Phone : (929) 655-9974
Second Address
- Ibrahim Shuaib
- 2516 72nd St
- East Elmhurst, NY
- Zip : 11370-1415
- Phone : (929) 655-9974
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 2901601134 | MI |
National Provider Identifier
| NPI | 1093473605 |
|---|---|
| Provider Name | Ibrahim Shuaib |
| First Address | East Elmhurst, NY 11370-1415 |
| Second Address | East Elmhurst, NY 11370-1415 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2021 |
| Last Update Date | 30/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.