# AHMAD SHOKOOHI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295751329
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 33049 | FL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 33049 | FL | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 09/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 037761900 | — | FL |
| 01 | — | 33049 | STATE | FL |
| 01 | — | FS0901339 | CHAMPUS TRICARE | — |