IndividualActive
Amanda Shoubaki, DO
NPI 1780172213 · Pediatrics Physician · Laurel, MS
Provider details
- NPI number
- 1780172213
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1002 Jefferson Street
Suite 200
Laurel, MS 39441-0247
Phone: (601) 649-3520
Fax: (601) 399-6184
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 247
Laurel, MS 39441-0247
Registry dates
- Enumerated
- 2018-04-30
- Last updated
- 2021-08-16
- Certified
- 2021-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.