Individual
HUMAIRA SHAFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4225 W GLENDALE AVE, SUITE B 200, PHOENIX, AZ 85051-8194
(623) 934-5600
(623) 934-5603
Mailing address
4225 W GLENDALE AVE, SUITE B 200, PHOENIX, AZ 85051-8194
(623) 934-5600
(623) 934-5603
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
41398
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK3166
RAIL ROAD MEDICARE
AZ
Enumeration date
05/20/2009
Last updated
10/19/2009
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