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Individual

SHADI JIBAWI

Active
Find providers by NPI
Individual

SHADI JIBAWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
03614632
IL
207R00000X
Internal Medicine Physician
036146320
IL
207R00000X
Internal Medicine Physician
4301092393
MI
208M00000X
Hospitalist Physician
03614632
IL
208M00000X
Hospitalist Physician
Primary
036146320
IL
390200000X
Student in an Organized Health Care Education/Training Program
4301092393
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON
MI
05
—
1568622686
—
MI
Enumeration date
06/12/2008
Last updated
06/21/2023
About Stedi
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