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Individual

MOHAMMAD SHALABE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSBS, PAC

Contact information

Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5495
(419) 479-5766
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5495
(419) 479-5766

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
50.005499RX
OH
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0288323
OH
Enumeration date
02/27/2018
Last updated
06/30/2023
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