Provider Demographics
NPI:1093478489
Name:SHIBLI FAMILY MEDICINE AND OBESITY CLINIC PLLC
Entity Type:Organization
Organization Name:SHIBLI FAMILY MEDICINE AND OBESITY CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UROOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIBLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-378-0755
Mailing Address - Street 1:5045 MULHOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-7036
Mailing Address - Country:US
Mailing Address - Phone:412-378-0755
Mailing Address - Fax:
Practice Address - Street 1:802 US HIGHWAY 80 E
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1555
Practice Address - Country:US
Practice Address - Phone:469-827-7300
Practice Address - Fax:469-202-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-21
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty