Individual
ROBERT S SHAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6750 E BAYWOOD AVE STE 507, MESA, AZ 85206
(480) 409-5060
Mailing address
6750 E BAYWOOD AVE STE 507, MESA, AZ 85206-1749
(480) 409-5060
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19356
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171033
—
AZ
01
—
Z156080
MEDICARE
AZ
Enumeration date
06/16/2005
Last updated
08/21/2019
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