Individual
IBRAHIM ADLY SHALABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4101 22ND PL, LUBBOCK, TX 79410-1121
(806) 725-8000
Mailing address
4101 22ND PL, LUBBOCK, TX 79410-1121
(806) 725-8000
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
L3469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148319001
—
TX
Enumeration date
04/11/2006
Last updated
07/20/2009
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