Individual
KAMRAN K SHOKOOHI
Active
Individual
KAMRAN K SHOKOOHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301067707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G36036
MEDICARE
—
01
—
1427090976
GROUP NPI
MI
01
—
180G300890
BLUE CROSS BLUE SHIELD
MI
01
—
180G300890
BLUE CARE NETWORK
—
05
—
4182000
—
MI
05
—
4187472
—
MI
01
—
43010067707
LICENSE
MI
01
—
CA3610
RAILROAD MEDICARE
—
Enumeration date
08/30/2005
Last updated
09/18/2023
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