A Louis Shaheen MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

038343 Issued in NY

Legal business name

A LOUIS SHAHEEN MD PC

Practice address

102 Eagle Street
Utica, NY 13501-3902

Phone

(315) 735-4447

Fax

(315) 735-4071

NPI assigned

Aug 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Abraham Louis Shaheen, MD

Title

President

Phone

(315) 735-4447

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063529576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 EAGLE STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013902",
            "telephone_number": "315-735-4447",
            "fax_number": "315-735-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 EAGLE STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135013902",
            "telephone_number": "315-735-4447",
            "fax_number": "315-735-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LOUIS SHAHEEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-735-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "038343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00564250",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Komal Abbas, DO
• Joanne Leigh Abboud
• Katrina M Abdalla, PA
• Bridgett Abdallah
• Lynn Marie Abdelnour X, LMSW

• General Practice Physician in Utica, NY
• Providers in Utica, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.