Provider Demographics
NPI:1104480664
Name:AL-THANI, SHAIKHA MUBARAK (MD)
Entity type:Individual
Prefix:DR
First Name:SHAIKHA
Middle Name:MUBARAK
Last Name:AL-THANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST, NEW YORK -PRESBYTERIAN/WEILL CORNELL MED
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-746-5454
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST, NEW YORK -PRESBYTERIAN/WEILL CORNELL MED
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-746-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2020-11-25
Deactivation Date:2019-12-16
Deactivation Code:
Reactivation Date:2020-11-25
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program