Organization
CHANDLER CARDIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHTISHAM SHAKOOR M.D. (PRESIDENT)
(480) 782-0101
Entity
Organization
Contact information
Practice address
1850 W FRYE RD, SUITE 101, CHANDLER, AZ 85224-6232
(480) 782-0101
(480) 782-1251
Mailing address
PO BOX 6850, CHANDLER, AZ 85246-6850
(480) 782-0101
(480) 782-1251
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27556
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468646
—
AZ
Enumeration date
03/07/2006
Last updated
08/30/2024
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