Provider Demographics
NPI:1336927052
Name:SHAKIR, MONICA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:SHAKIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7226 LYNBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-5958
Mailing Address - Country:US
Mailing Address - Phone:216-501-0801
Mailing Address - Fax:
Practice Address - Street 1:7226 LYNBROOK DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-5958
Practice Address - Country:US
Practice Address - Phone:216-501-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health