Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1194456665
Shady Salib Md Llc
Organization Subpart: NO
Active
NPI Number1194456665
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine
Provider Details
NPI1194456665
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2022-06-23
Last Updated2023-01-09
Authorized OfficialShady Salib
Owner
Phone: 5619010429
Mailing Address3345 Burns Rd Ste 204
Palm Beach Gardens, FL 33410-4306
United States
Phone: (561) 622-7604 | Fax: (561) 622-7542
📍 View Map
Primary Practice Address3345 Burns Rd Ste 204
Palm Beach Gardens, FL 33410-4306
United States
Phone: (561) 622-7604
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207R00000X – Internal Medicine--
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About NPI 1194456665

Shady Salib Md Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1194456665. The primary specialty listed is Internal Medicine. The organization is located in Palm Beach Gardens, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-06-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1194456665?

NPI 1194456665 belongs to Shady Salib Md Llc, a Internal Medicine in Palm Beach Gardens, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1194456665 active?

The current status of NPI 1194456665 in the NPPES registry is Active. The record was last updated on 2023-01-09.

What specialty is NPI 1194456665?

NPI 1194456665 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1194456665?

You can verify NPI 1194456665 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1194456665?

The primary practice address on file for NPI 1194456665 is 3345 Burns Rd Ste 204, Palm Beach Gardens, FL 33410-4306. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1194456665 issued?

NPI 1194456665 was first issued (enumerated) on 2022-06-23. The NPPES record was last updated on 2023-01-09.

Practice Location Map

Shady Salib Md Llc is located at 3345 Burns Rd Ste 204, Palm Beach Gardens, FL. Use the map below to find directions or verify the practice location.

📍 3345 Burns Rd Ste 204, Palm Beach Gardens, FL 33410-4306  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Shady Salib Md Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-13 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162