Jamil, Shibrah M.

Jamil, Shibrah M. is an sole proprietor health care provider with primary practice located at 15747 Rose Ave , Flushing NY 11355-2327. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Jamil, Shibrah M. can be contacted via phone (179) 754-1639.

Contact Information

Primary practice address
15747 Rose Ave Flushing NY 11355-2327
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 215463-1 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 215463 New York

Profile Details

NPI number 1760418727
LBN Legal business name Jamil, Shibrah M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Oct 6th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760418727 NPPES
New York MEDICAID 02462077

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