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Individual
DR. HANI LAOIZ SHAHATA
Active
Individual
DR. HANI LAOIZ SHAHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
242021
NY
207RN0300X
Nephrology Physician
Primary
242021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001RZ1
EMPIRE BLUECROSS
NY
05
—
02831776
—
NY
05
—
02995513
—
NY
01
—
110625000012
FIDELIS
NY
01
—
308712
SENIOR WHOLE HEALTH
NY
01
—
649058
GHI-HMO
NY
01
—
9418120
AETNA
NY
Enumeration date
11/01/2006
Last updated
01/18/2018
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