Individual
AHTISHAM SHAKOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 W FRYE RD STE 101, CHANDLER, AZ 85224-6232
(480) 782-0101
(480) 782-1251
Mailing address
1850 W FRYE RD STE 101, CHANDLER, AZ 85224-6232
(480) 782-0101
(480) 782-1251
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
27556
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468646
—
AZ
Enumeration date
10/26/2006
Last updated
08/30/2024
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