Individual
FIRAS MAHMOOD SHAKIR AL-ANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000
Mailing address
2209 MERRICK RD STE 100, MERRICK, NY 11566-4770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
300638
NY
207RG0100X
Gastroenterology Physician
Primary
300638
NY
207RG0100X
Gastroenterology Physician
ME152899
FL
Other
Enumeration date
04/22/2014
Last updated
03/08/2022
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