Active NPI
Ashraf Monir Kamel Shalaby
- Family Medicine Physician
- Omak, WA
National Provider Identifier
1336000868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 15615
- Practice address
- 810 Jasmine St
Omak, WA 98841-9578 - Phone
- (509) 826-7646
- NPI assigned
- Nov 24, 2025
- Last updated
- Nov 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 15615 | ND | |
| Family Medicine Physician | 207Q00000X | 15615 | ND | Primary |
Addresses
Primary practice location
810 Jasmine St
Omak, WA 98841-9578
Mailing address
123 Weber Close NW
Edmonton, ALBERTA T6M0L4
CA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15615 | ND | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763942400000",
"number": "1336000868",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "123 WEBER CLOSE NW",
"city": "EDMONTON",
"state": "ALBERTA",
"postal_code": "T6M0L4"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 JASMINE ST",
"city": "OMAK",
"state": "WA",
"postal_code": "988419578",
"telephone_number": "509-826-7646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHALABY",
"first_name": "ASHRAF",
"middle_name": "MONIR KAMEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-24",
"last_updated": "2025-11-24",
"certification_date": "2025-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ND",
"license": "15615",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "15615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.