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NPI Code Detail

MEDICARE: DR. NADA MUSA SHABAN MD

MEDICARE: DR. NADA MUSA SHABAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician273972NY
2207UN0901XNuclear Cardiology Physician273972NY
3207RC0000XCardiovascular Disease Physician036154846IL

General Provider Information

NPI Number : 1073782074
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NADA MUSA SHABAN MD
Provider Business Mailing Address
First Line : 1725 W HARRISON ST STE 1159
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3883
Country : US
Telephone Number : 312-942-5020
Fax Number :
Provider Business Practice Location Address
First Line : 1725 W HARRISON ST STE 1159
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3883
Country : US
Telephone Number : 312-942-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2008
Last Update Date : 03/05/2024

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