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Individual
ASFANDIAR A SHUKRI
Active
Individual
ASFANDIAR A SHUKRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301044126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D410020
BLUE CROSS BLUE SHIELD
MI
01
—
0984529
HEALTH PLUS
MI
05
—
104172498
—
MI
01
—
201895
HEALTH ADVANTAGE NETWORK
MI
05
—
3497004
—
MI
05
—
4688388
—
MI
01
—
700B511870
BLUE CARE NETWORK
MI
01
—
AS044126
BCBS
MI
01
—
B49445
HAP
MI
Enumeration date
12/13/2005
Last updated
05/20/2008
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