Abdul Wahab, Shukufa

Abdul Wahab, Shukufa is an individual health care provider with primary practice located at Christus Good Shepherd Medical Center 700 East Marshall Avenue, Longview TX 75601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Abdul Wahab, Shukufa can be contacted via phone (804) 368-4302.

Contact Information

Primary practice address
Christus Good Shepherd Medical Center 700 East Marshall Avenue Longview TX 75601
Phone: (804) 368-4302
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110-007625 Virginia

Profile Details

NPI number 1770171977
LBN Legal business name Abdul Wahab, Shukufa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2021
Last updated May 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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