MEDICARE: ADEEL BASIT SHIBLI MD

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	207RP1001X	Pulmonary Disease Physician	P0137	TX

General Provider Information

NPI Number	:	1427182872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEEL BASIT SHIBLI MD

Provider Business Mailing Address
First Line	:	2704 N GALLOWAY AVE
Second Line	:	100
City	:	MESQUITE
State	:	TX
Zip	:	75150-6378
Country	:	US
Telephone Number	:	214-320-7650
Fax Number	:	214-320-7649

Provider Business Practice Location Address
First Line	:	2704 N GALLOWAY AVE
Second Line	:	100
City	:	MESQUITE
State	:	TX
Zip	:	75150-6378
Country	:	US
Telephone Number	:	214-320-7650
Fax Number	:	214-320-7649

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

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	07/25/2022

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