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Individual
AHMAD SHOKOOHI
Active
Individual
AHMAD SHOKOOHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33049
FL
207V00000X
Obstetrics & Gynecology Physician
33049
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037761900
—
FL
01
—
33049
STATE
FL
01
—
FS0901339
CHAMPUS TRICARE
—
Enumeration date
07/14/2006
Last updated
09/14/2010
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