Healthcare Provider Details

I. General information

NPI: 1386033728
Provider Name (Legal Business Name): SHIMON ARBEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2015
Last Update Date: 01/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRUMPELDOR 14
KFAR SABA MERKAZ
44442
IL

IV. Provider business mailing address

TRUMPELDOR 14
KFAR SABA MERKAZ
44442
IL

V. Phone/Fax

Practice location:
  • Phone: 97297420263
  • Fax:
Mailing address:
  • Phone: 97297420263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number033476268
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: