# ASFANDIAR A SHUKRI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255316295
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 4301044126 | MI | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 05/20/2008

## 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 |