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Individual

SHAHZAD SHADMANY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
217 S 63RD ST, SUITE 105, MESA, AZ 85206-6105
(480) 981-8088
(480) 981-3883
Mailing address
217 S 63RD ST, SUITE 105, MESA, AZ 85206-6105
(480) 981-8088
(480) 981-3883

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
32204
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
855108
AZ
Enumeration date
02/24/2006
Last updated
10/11/2007
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