National Provider Identifier
Mohammad Ali Shahab, MBBS
Mohammad Ali Shahab, MBBS is listed in the NPPES registry with a primary specialty of Neurology Physician in Ithaca, NY and a listed phone number of (607) 273-6757.
Profile Overview
- NPI
- 1447745864
- Provider Type
- Individual
- Primary Specialty
- Neurology Physician
- Enumeration Date
- June 27, 2018
- Last Updated
- July 01, 2023
Practice Location
- 905 Hanshaw RD
- Ithaca, NY 14850-1549
Phone: (607) 273-6757
Specialties
- Neurology Physician (2084N0400X)
Full Record
- NPI
- 1447745864
- Entity Type
- Individual
- Last Name
- Shahab
- First Name
- Mohammad Ali
- Name Prefix
- Dr.
- Credential
- MBBS
- Mailing Street Address
- 905 Hanshaw RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1549
- Mailing Country
- US
- Practice Street Address
- 905 Hanshaw RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1549
- Practice Country
- US
- Practice Phone
- (607) 273-6757
- Enumeration Date
- June 27, 2018
- Last Updated
- July 01, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neurology Physician (2084N0400X)