| Lina Shihabuddin Md Llc | |
|
495 N 13th St Newark NJ 07107-1317 | |
| (973) 268-2492 | |
| Not Available |
| Full Name | Lina Shihabuddin Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 495 N 13th St, Newark, New Jersey |
| Authorized Official Name and Position | Lina Shihabuddin (OWNER) |
| Authorized Official Contact | 9732682492 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lina Shihabuddin Md Llc 6 Ironwood Rd Short Hills NJ 07078-1020 Ph: (973) 268-2492 | Lina Shihabuddin Md Llc 495 N 13th St Newark NJ 07107-1317 Ph: (973) 268-2492 |
| NPI Number | 1538264890 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355340480 |
|---|---|
| Medicare Enrollment ID | O20061218000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538264890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (New Jersey) | Primary |
| Provider Name | Lina Sami Shihabuddin |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1528014925 PECOS PAC ID: 6103712559 Enrollment ID: I20040224000519 |
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