Shaban, Ahmad

Shaban, Ahmad is an sole proprietor health care provider with primary practice located at 26732 Crown Valley Pkwy Ste 241 , Mission Viejo CA 92691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Shaban, Ahmad can be contacted via phone (949) 364-2611.

Contact Information

Primary practice address
26732 Crown Valley Pkwy Ste 241 Mission Viejo CA 92691
Fax: (949) 364-0226
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A32547 California

Profile Details

NPI number 1154413102
LBN Legal business name Shaban, Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Aug 30th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154413102 NPPES
California Other WA32547A MEDICARE

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