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Individual

DR. SHAHIN MADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D., M.S.

Contact information

Practice address
23271 N SCOTTSDALE RD STE A106, SCOTTSDALE, AZ 85255-4484
(480) 544-2383
Mailing address
8236 N 62ND PL, PARADISE VALLEY, AZ 85253-2645
(480) 215-2859

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
34761
TX
1223P0300X
Periodontics
Primary
D7175
AZ
1223P0300X
Periodontics
S4-83C
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699980920
AZ
Enumeration date
05/11/2007
Last updated
04/18/2025
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