Individual
ASFANDIAR A SHUKRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1459 S CENTER RD, BURTON, MI 48509-1726
(810) 496-0900
(810) 742-3891
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301044126
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D410020
COMMUNITY BLUE PPO
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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