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NPI Code Detail

MEDICARE: HIBA SHAKEEL

MEDICARE: HIBA SHAKEEL
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
1390200000XStudent in an Organized Health Care Education/Training Program
2363LF0000XFamily Nurse Practitioner95017292CA

General Provider Information

NPI Number : 1154927739
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIBA SHAKEEL
Provider Business Mailing Address
First Line : 240 AMHERST AISLE APT 240
Second Line :
City : IRVINE
State : CA
Zip : 92612-4664
Country : US
Telephone Number : 708-949-1361
Fax Number :
Provider Business Practice Location Address
First Line : 12865 MAIN ST STE 105
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92840-8205
Country : US
Telephone Number : 949-419-7278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 04/05/2023

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Directions to “ HIBA SHAKEEL ” Practice Location

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