Provider Demographics
NPI:1366416299
Name:SHAKIR, MOHAMED KM
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:KM
Last Name:SHAKIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:K.M.M
Other - Middle Name:
Other - Last Name:SHAKIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9905 MARQUETTE DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1749
Mailing Address - Country:US
Mailing Address - Phone:301-530-7278
Mailing Address - Fax:301-295-5171
Practice Address - Street 1:NATIONAL NAVAL MEDICAL CENTER
Practice Address - Street 2:8901 WISCONSIN AVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-5165
Practice Address - Fax:301-295-5165
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0017600207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism