Paul George Shallal

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302038880 Issued in MI

Practice address

504 Main St
Belleville, MI 48111-5600

Phone

(248) 225-9919

NPI assigned

Oct 15, 2013

Last updated

Oct 15, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Paul George Shallal Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1932537727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481115600",
            "telephone_number": "248-225-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481115600",
            "telephone_number": "248-225-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLAL",
        "first_name": "PAUL",
        "middle_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302038880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "SHALLAL",
            "middle_name": "GEORGE",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Pharmacist in Belleville, MI
• Providers in Belleville, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.