Provider Demographics
NPI:1831372481
Name:SHAIB, WALID LABIB (MD)
Entity type:Individual
Prefix:
First Name:WALID
Middle Name:LABIB
Last Name:SHAIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 CHAPEL ST
Mailing Address - Street 2:HOSPITAL OF SAINT RAPHAEL
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-4405
Mailing Address - Country:US
Mailing Address - Phone:203-789-3034
Mailing Address - Fax:203-789-5184
Practice Address - Street 1:1450 CHAPEL ST
Practice Address - Street 2:HOSPITAL OF SAINT RAPHAEL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-4405
Practice Address - Country:US
Practice Address - Phone:203-789-3034
Practice Address - Fax:203-789-5184
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA068617207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology