Provider Demographics
NPI:1154594968
Name:MUHAMMAD, SHANI IFE (MD)
Entity type:Individual
Prefix:DR
First Name:SHANI
Middle Name:IFE
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHANI
Other - Middle Name:IFE
Other - Last Name:RITCHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:121 BARBOZA ST
Mailing Address - Street 2:
Mailing Address - City:MENDOTA
Mailing Address - State:CA
Mailing Address - Zip Code:93640-1901
Mailing Address - Country:US
Mailing Address - Phone:559-655-5000
Mailing Address - Fax:
Practice Address - Street 1:650 S ZEDIKER AVE
Practice Address - Street 2:BLD 3
Practice Address - City:PARLIER
Practice Address - State:CA
Practice Address - Zip Code:93648-2666
Practice Address - Country:US
Practice Address - Phone:559-646-6618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA113269207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine