Provider Demographics
NPI:1770532699
Name:SHABEEB, M NABIL (MD)
Entity type:Individual
Prefix:DR
First Name:M
Middle Name:NABIL
Last Name:SHABEEB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9050 COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2905
Mailing Address - Country:US
Mailing Address - Phone:219-836-9800
Mailing Address - Fax:219-836-9300
Practice Address - Street 1:9050 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2905
Practice Address - Country:US
Practice Address - Phone:219-836-9800
Practice Address - Fax:219-836-9300
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01033392A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000183206OtherANTHEM/BCBS
IN020047891OtherRRMEDICARE
IN100212180Medicaid
IL90001007OtherBCBSILL
IN000000183206OtherANTHEM/BCBS
IL90001007OtherBCBSILL