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Individual

SHAHID SHEKHANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6871
(608) 756-6501
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6871
(608) 756-6501

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
4301064127
MI
207RX0202X
Medical Oncology Physician
Primary
44136-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000517515
ANTHEM BCBS
IN
01
110270056
BCBS
MI
05
200851920
IN
05
34341200
WI
05
4331600
MI
01
P00277426
RAILROAD MEDICARE
MI
01
P00657878CD3624
RR MEDICARE
WI
01
SHEKHSA
MERCYCARE INSURANCE
WI
Enumeration date
07/12/2005
Last updated
08/11/2020
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