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

Amanda Shoubaki, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780172213

Amanda Shoubaki, DO is a Student in an Organized Health Care Education/Training Program in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1002 Jefferson St Ste 200
Laurel, MS 39441-0247
Phone: (601) 649-3520
Fax: (601) 399-6184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 28564 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1780172213
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2018
Last updated in NPPESAugust 16, 2021
Certification dateJuly 25, 2021
Mailing addressPo Box 247, Laurel, MS 39441-0247

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