Individual provider · Type 1 NPI

Amanda Shoubaki, DO

Pediatrics Physician · Laurel, MS

NPI number 1780172213 Active

Practice location

1002 Jefferson Street, Suite 200
Laurel, MS 39440

Fax (601) 399-6184

Mailing address

PO Box 247
Laurel, MS 39441-0247

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000X28564 (MS)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1780172213

Amanda Shoubaki, DO's National Provider Identifier is 1780172213, issued on Apr 30, 2018. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Laurel, MS. The record was last updated on Oct 12, 2026.