Physician Compare National (NPI:1598857815)

HEALTHCARE PROVIDER: KAIED ALBERTO SHALABI M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598857815
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820007446
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060410000645
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHALABI
	Individual professional last name
Provider First Name	KAIED
	Individual professional first name
Provider Middle Name	A OTHMAN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	453 E ARROW HWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	AZUSA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917025612
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6269151748
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050382
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CITRUS VALLEY MEDICAL CENTER-IC CAMPUS
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y