Shihadeh, Manal
Shihadeh, Manal is an individual health care provider with primary practice located at 1919 Lathrop St Ste 204 , Fairbanks AK 99701-5942. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shihadeh, Manal can be contacted via phone (907) 374-2637.Contact Information
Primary practice address
1919 Lathrop St Ste 204
Fairbanks AK 99701-5942
Phone: (907) 374-2637
Fax: (907) 374-2632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MEDS5429 | Alaska |
Profile Details
| NPI number | 1437271871 |
|---|---|
| LBN Legal business name | Shihadeh, Manal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2007 |
| Last updated | Mar 1st, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437271871 | NPPES |
| Alaska | MEDICAID | 1012350 |
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