Individual
SHAHAB EUNUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME96086
FL
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275780000
—
FL
01
—
JH468Z
PTAN
FL
Enumeration date
08/29/2006
Last updated
01/09/2023
Update your record
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