NPI Profile for RABIE M SHANTI in NEWARK, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology | |
Sleep Medicine |
207YS0012X | 04 | Physician/Otolaryngology |
| NPI Number | 1811202633 |
|
| Status | Active | |
| Credentials | DMD, MD | |
| Entity | Individual | |
| Enumeration date | 08/17/2010 | |
| Last updated | 08/04/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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RABIE M SHANTI
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