Individual
ALA SHIYAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2343 W LINCOLN RD, KOKOMO, IN 46902
(765) 455-4090
Mailing address
2343 W LINCOLN RD, KOKOMO, IN 46902-8012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01066314A
IN
208600000X
Surgery Physician
35.141351
OH
Other
Enumeration date
01/14/2009
Last updated
02/10/2026
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