Shakhatreh, Mohammed Ibrahim

Shakhatreh, Mohammed Ibrahim is an sole proprietor health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Shakhatreh, Mohammed Ibrahim can be contacted via phone (718) 226-9000.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (718) 226-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.207078 Louisiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X R1291 Texas
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 314288 New York

Profile Details

NPI number 1811278088
LBN Legal business name Shakhatreh, Mohammed Ibrahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2011
Last updated Mar 15th, 2023 - about last year

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 1811278088 NPPES
Texas MEDICAID 404357201
Texas Other H08LV56001

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