Individual
DR. NAMIR J SHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 N GILBERT RD, SUITE 204, GILBERT, AZ 85234-2390
(480) 924-7333
(480) 924-7415
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
006063
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
779847
—
AZ
Enumeration date
02/14/2009
Last updated
11/14/2022
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