Individual
MIKHAIL I SHTIVELBAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
685 S DOBSON RD, CHANDLER, AZ 85224-5665
(480) 821-2838
(480) 821-9444
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
32733
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860339
AHCCCS
AZ
Enumeration date
02/17/2006
Last updated
11/17/2022
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