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NPI Code Detail

MEDICARE: DR. KAMBIZ SHEKIB MD

MEDICARE: DR. KAMBIZ SHEKIB 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
1208M00000XHospitalist Physician208684NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720075260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMBIZ SHEKIB MD
Provider Business Mailing Address
First Line : 62 ROSE AVE
Second Line :
City : GREAT NECK
State : NY
Zip : 11021-1524
Country : US
Telephone Number : 516-410-2184
Fax Number : 516-482-3707
Provider Business Practice Location Address
First Line : 27005 76TH AVE
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-1402
Country : US
Telephone Number : 516-410-2184
Fax Number : 516-482-3707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 07/21/2022

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