Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Shenouda MD Corp

Organization Internal Medicine Physician · NPI 1962987222

Jack Shenouda MD Corp is an Internal Medicine Physician in Thousand Oaks, California. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1016 Cactus Ct
Thousand Oaks, CA 91320-5907
Phone: (717) 557-3938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1962987222
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Shenouda — Ceo · (717) 557-3938
NPI enumeratedOctober 2, 2018
Last updated in NPPESOctober 2, 2018
Mailing address1016 Cactus Ct, Thousand Oaks, CA 91320-5907

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