Provider Demographics
NPI:1285879338
Name:SHABBIR, MUHAMMAD (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:
Last Name:SHABBIR
Suffix:
Gender:M
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:PO BOX 3768
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344-3768
Mailing Address - Country:US
Mailing Address - Phone:209-383-3381
Mailing Address - Fax:209-722-2025
Practice Address - Street 1:127 W EL PORTAL DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2853
Practice Address - Country:US
Practice Address - Phone:209-383-3381
Practice Address - Fax:209-722-2025
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACS1342OtherMEDICARE RAILROAD CARRIER - GROUP PTAN
CA1285623256OtherMEDICARE RAILROAD CARRIER - GROUP NPI
CAP00781388OtherMEDICARE RAILROAD CARRIER - GROUP MEMBER PTAN
CA1285879338OtherMEDICARE RAILROAD CARRIER - GROUP MEMBER NPI
CACB648ZMedicare PIN