| Doctor Name: | DR. MENA A SHAKER |
| NPI Number: | 1083908644 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD, DO |
| License Number: | 2015-01007 |
| Business Practice Address: | 100 Brewster Blvd Department Of Obstetrics And Gynecology Camp Lejeune, NC - 285472538 |
| Business Phone Number: | 8142440789 |
| Business Fax Number: | |
| Mailing Address: | 100 Brewster Blvd, Department Of Obstetrics And Gynecology CAMP LEJEUNE |
| State: | NC |
| Postal Code: | 285472538 |
| Phone Number: | 8142440789 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2011 |
| NPI Last Update Date: | 06/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 2015-01007 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |