Individual
BASSAM SYED SHAKIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 S DOBSON RD STE 214, BUILDING B, SUITE 214, CHANDLER, AZ 85224-5671
(480) 857-2381
(480) 857-2407
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3315
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
48780
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892822
—
AZ
Enumeration date
07/25/2009
Last updated
06/30/2021
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