Provider Demographics
NPI:1477540672
Name:SHIKARI, MUNIR ABDULLAH (MD)
Entity Type:Individual
Prefix:
First Name:MUNIR
Middle Name:ABDULLAH
Last Name:SHIKARI
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 1:243 NORTH RD STE 304
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1173
Mailing Address - Country:US
Mailing Address - Phone:845-451-7251
Mailing Address - Fax:
Practice Address - Street 1:5 JEANNE DR
Practice Address - Street 2:SUITE 7
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1702
Practice Address - Country:US
Practice Address - Phone:845-565-4400
Practice Address - Fax:845-565-4822
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166466207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00986796Medicaid
NY00986796Medicaid
MS088D2410Medicare ID - Type Unspecified