Individual
NICHOLAS DAVID SHOKOOHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2393 SCHUST RD, SAGINAW, MI 48603-1334
(989) 793-2820
(989) 755-1463
Mailing address
2393 SCHUST RD, SAGINAW, MI 48603-1334
(989) 793-2820
(989) 755-1463
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301502033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301502033
PHYSICIAN LICENSE
MI
Enumeration date
04/27/2016
Last updated
09/18/2023
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