MEDICARE: ALA SHIYAB M.D.

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	208600000X	Surgery Physician	35.141351	OH
2	208600000X	Surgery Physician	01066314A	IN

General Provider Information

NPI Number	:	1265679187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALA SHIYAB M.D.

Provider Business Mailing Address
First Line	:	2343 W LINCOLN RD
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902-8012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2343 W LINCOLN RD
Second Line	:
City	:	KOKOMO
State	:	IN
Zip	:	46902
Country	:	US
Telephone Number	:	765-455-4090
Fax Number	:

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

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	02/10/2026

Similar Medicare Providers

1518818194 — DR. KELSIE MARIE BUSTAMANTE PT, DPT
Practice Location Address:

1558 E BOULEVARD STE E
KOKOMO, IN
46902-2587

Practice Phone: 765-865-8705
Practice Fax:

1568696813 — CHRISTINA TOWNE OTR
Practice Location Address:

613 W LINCOLN RD
KOKOMO, IN
46902-3460

Practice Phone: 765-416-6630
Practice Fax: 765-416-6629

1689526857 — KIMBERLY ANN ROE H.A.D.
Practice Location Address:

405 E HOFFER ST
KOKOMO, IN
46902-2247

Practice Phone: 765-457-1553
Practice Fax:

1053455048 — STEVEN SHAWN DUTTON LMHC;LMFT
Practice Location Address:

2765 ALBRIGHT RD STE A
KOKOMO, IN
46902-3996

Practice Phone: 765-450-9214
Practice Fax:

1568247492 — JOLIE KNIGHT PTA
Practice Location Address:

613 W LINCOLN RD
KOKOMO, IN
46902-3460

Practice Phone: 765-416-6630
Practice Fax: 765-416-6629

1609726355 — ABIGAIL MAE ROSSMAN
Practice Location Address:

2701 ALBRIGHT RD
KOKOMO, IN
46902-3996

Practice Phone: 765-438-8515
Practice Fax:

Directions to “ ALA SHIYAB M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.