Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 303732 | NY |
Y | 208800000X | Urologist | 4301503794 | MI |
NPI | 1033505896 |
---|---|
Provider Name | Nabeel Ahmad Shakir |
First Address | New York, NY 10016-6402 |
Second Address | Detroit, MI 48202-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2015 |
Last Update Date | 09/08/2021 |