Organization
CHANDLER PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMBUL SHAKOOR MD (PEDIATRICIAN)
(480) 782-5575
Entity
Organization
Contact information
Practice address
1850 W FRYE RD STE 102, CHANDLER, AZ 85224-6232
(480) 782-5575
(480) 782-5576
Mailing address
1850 W FRYE RD STE 102, CHANDLER, AZ 85224-6232
(480) 782-5575
(480) 782-5576
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
27805
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
486010
—
AZ
Enumeration date
11/29/2006
Last updated
08/29/2024
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