Shalaby, Ibrahim Adly

Shalaby, Ibrahim Adly is an individual health care provider with primary practice located at 4101 22Nd Pl , Lubbock TX 79410-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Shalaby, Ibrahim Adly can be contacted via phone (806) 725-8000.

Contact Information

Primary practice address
4101 22Nd Pl Lubbock TX 79410-1121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X L3469 Texas

Profile Details

NPI number 1053374769
LBN Legal business name Shalaby, Ibrahim Adly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 20th, 2009 - about 15 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 1053374769 NPPES
Texas MEDICAID 148319001

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