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Individual
DR. SHAHIN MADI
Active
Individual
DR. SHAHIN MADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
34761
TX
1223P0300X
Periodontics
Primary
D7175
AZ
1223P0300X
Periodontics
S4-83C
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699980920
—
AZ
Enumeration date
05/11/2007
Last updated
04/18/2025
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