Provider Demographics
NPI:1932492048
Name:ALSHELLI, IHAB A (MBBCH, MD)
Entity Type:Individual
Prefix:DR
First Name:IHAB
Middle Name:A
Last Name:ALSHELLI
Suffix:
Gender:M
Credentials:MBBCH, MD
Other - Prefix:DR
Other - First Name:IHAB
Other - Middle Name:ABD A
Other - Last Name:AL SHELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBCH, MD
Mailing Address - Street 1:2950 CLEVELAND CLINIC BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3625
Mailing Address - Country:US
Mailing Address - Phone:954-659-5450
Mailing Address - Fax:
Practice Address - Street 1:2950 CLEVELAND CLINIC BLVD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3609
Practice Address - Country:US
Practice Address - Phone:954-659-5450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-23
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME135537207R00000X, 207RC0200X, 207RP1001X
MI4301098409207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine