Provider Demographics
NPI:1891746491
Name:SHABEER A DAR M.D.P.C.
Entity Type:Organization
Organization Name:SHABEER A DAR M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:SHABEER
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-376-1101
Mailing Address - Street 1:431 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11702-2315
Mailing Address - Country:US
Mailing Address - Phone:631-376-1101
Mailing Address - Fax:631-376-1139
Practice Address - Street 1:431 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-2315
Practice Address - Country:US
Practice Address - Phone:631-376-1101
Practice Address - Fax:631-376-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01363937Medicaid
NY176821OtherLICENSE NUMBER
NY01363937Medicaid
NYE98534Medicare UPIN