Active NPI
Shawqi E Halabu M.D. PC
- Specialist
- Farmington, MI
National Provider Identifier
1821312380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- SHO42299
- Legal business name
- SHAWQI E HALABU M.D. PC
- Practice address
- 23133 Orchard Lake Rd Ste 204
Farmington, MI 48336-3279 - Phone
- (248) 615-2020
- Fax
- (248) 615-4055
- NPI assigned
- Mar 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shawqi E Halabu, M.D.
- Title
- President
- Phone
- (248) 615-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | SHO42299 | MI | Primary |
Addresses
Primary practice location
23133 Orchard Lake Rd Ste 204
Farmington, MI 48336-3279
Mailing address
23133 Orchard Lake Rd Ste 204
Farmington, MI 48336-3279
Phone (248) 615-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60F390260 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 0F39026 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Birmingham, MI
- NPI 1861573610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573689600000",
"number": "1821312380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23133 ORCHARD LAKE RD STE 204",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363279",
"telephone_number": "248-615-2020",
"fax_number": "248-615-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23133 ORCHARD LAKE RD STE 204",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363279",
"telephone_number": "248-615-2020",
"fax_number": "248-615-4055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWQI E HALABU M.D. PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-26",
"last_updated": "2019-11-14",
"status": "A",
"authorized_official_last_name": "HALABU",
"authorized_official_first_name": "SHAWQI",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-615-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MI",
"license": "SHO42299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "60F390260",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "0F39026",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.