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Individual

DR. MAXIMILIAN SHAHRYAR SHOKAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
(229) 226-2237
Mailing address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
(229) 226-2237

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
60192
GA
208VP0014X
Interventional Pain Medicine Physician
OS10271
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002427200
FL
Enumeration date
01/31/2008
Last updated
01/31/2020
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