1285879338 NPI number — DR. MUHAMMAD SHABBIR MD

Table of content: DR. MUHAMMAD SHABBIR MD (NPI 1285879338)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285879338 NPI number — DR. MUHAMMAD SHABBIR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHABBIR
Provider First Name:
MUHAMMAD
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285879338
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3768
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERCED
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95344-3768
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-383-3381
Provider Business Mailing Address Fax Number:
209-722-2025

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
127 W EL PORTAL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERCED
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95348-2853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-383-3381
Provider Business Practice Location Address Fax Number:
209-722-2025
Provider Enumeration Date:
12/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  A106193 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CS1342 . This is a "MEDICARE RAILROAD CARRIER - GROUP PTAN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1285623256 . This is a "MEDICARE RAILROAD CARRIER - GROUP NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: P00781388 . This is a "MEDICARE RAILROAD CARRIER - GROUP MEMBER PTAN" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1285879338 . This is a "MEDICARE RAILROAD CARRIER - GROUP MEMBER NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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