MEDICARE: DR. HANS H SHUHAIBER 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
1	2084N0400X	Neurology Physician	2793111	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084N0400X	Neurology Physician	117188	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144412651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANS H SHUHAIBER MD

Provider Business Mailing Address
First Line	:	1505 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1134
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1505 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1134
Country	:	US
Telephone Number	:	352-294-5000
Fax Number	:	352-733-9234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2007
Last Update Date	:	05/11/2020

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