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Individual

DR. SIMA B SHAKIBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830
Mailing address
4800 N 22ND ST, PHOENIX, AZ 85016-4701
(602) 955-1000
(602) 508-4830

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30806
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30806
MEDICAL LICENSE
AZ
Enumeration date
09/01/2006
Last updated
07/08/2007
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