National Provider Identifier
Shantell Kargbeh, PA
Shantell Kargbeh, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (302) 670-0063.
Profile Overview
- NPI
- 1750157616
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 30, 2023
- Last Updated
- November 30, 2023
Practice Location
- 215 E State St
- Ithaca, NY 14850-5547
Phone: (302) 670-0063
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1750157616
- Entity Type
- Individual
- Last Name
- Kargbeh
- First Name
- Shantell
- Credential
- PA
- Mailing Street Address
- 215 E State St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5547
- Mailing Country
- US
- Practice Street Address
- 215 E State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5547
- Practice Country
- US
- Practice Phone
- (302) 670-0063
- Enumeration Date
- November 30, 2023
- Last Updated
- November 30, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)