Healthcare Provider Details

I. General information

NPI: 1528351210
Provider Name (Legal Business Name): MOSTAFA SHALABY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2011
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 DUBLIN BLVD
DUBLIN CA
94568-3113
US

IV. Provider business mailing address

4000 DUBLIN BLVD
DUBLIN CA
94568-3113
US

V. Phone/Fax

Practice location:
  • Phone: 925-875-6229
  • Fax:
Mailing address:
  • Phone: 925-875-6229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA140426
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA142426
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA140426
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: