Provider Demographics
NPI:1942786918
Name:MOHAMMED, SHAYMAA SHEBLI (MD)
Entity Type:Individual
Prefix:
First Name:SHAYMAA
Middle Name:SHEBLI
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAYMAA
Other - Middle Name:SHEBLI
Other - Last Name:MOHAMMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1625 N CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-4330
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1625 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-4330
Practice Address - Country:US
Practice Address - Phone:832-643-4309
Practice Address - Fax:832-643-4309
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2023-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR783912085P0229X, 2085R0202X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology