Individual
SHAWN FAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(623) 848-5180
(623) 848-5178
Mailing address
2451 S ROANOKE ST, GILBERT, AZ 85295-2369
(401) 529-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41504
AZ
207R00000X
Internal Medicine Physician
RI11743
RI
Other
Enumeration date
05/17/2006
Last updated
07/17/2020
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