Provider Demographics
NPI:1588783377
Name:SHINAISHIN, MAHMOUD AKIF (MD)
Entity type:Individual
Prefix:DR
First Name:MAHMOUD
Middle Name:AKIF
Last Name:SHINAISHIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:M.
Other - Middle Name:AKIF
Other - Last Name:SHINAISHIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1450 WESTERN AVE STE 102
Mailing Address - Street 2:ANESTHESIA GROUP OF ALBANY, PC
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3539
Mailing Address - Country:US
Mailing Address - Phone:518-463-0050
Mailing Address - Fax:518-207-2973
Practice Address - Street 1:1450 WESTERN AVE STE 102
Practice Address - Street 2:ANESTHESIA GROUP OF ALBANY, PC
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3539
Practice Address - Country:US
Practice Address - Phone:518-463-0050
Practice Address - Fax:518-207-2973
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014111131223G0001X
NY283698207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No1223G0001XDental ProvidersDentistGeneral Practice