Shalaha Viba, MD

NPI #1164216479 in Queens Village, New York

Provider Information

NPI Number: 1164216479
Entity Type: Individual
Name: Shalaha Viba, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Apr 9, 2025
Last Updated: Apr 9, 2025

Practice Location

Address: 7925 WINCHESTER BLVD
City: Queens Village
State: New York
ZIP Code: 11427-2128
Phone: (718) 264-5030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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