Individual
DR. SHAHROKH NMN SALMASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 HOPE DRIVE, BAGDAD, AZ 86321
(928) 633-6011
(928) 633-3376
Mailing address
P.O. BOX 1472, BAGDAD, AZ 86321-1472
(928) 633-6011
(928) 633-3376
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19960
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000202464502
UNITED HEALTH CARE
—
05
—
055089
—
AZ
Enumeration date
09/14/2006
Last updated
03/07/2023
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