Individual
NAFIS SHAMSID-DEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2296
Mailing address
PO BOX 967, FLAGSTAFF, AZ 86002-0967
(928) 773-0003
(928) 773-1170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
54376
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
54376
AZ
207RP1001X
Pulmonary Disease Physician
54376
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356037
—
AZ
Enumeration date
06/09/2014
Last updated
03/17/2020
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