Individual
DR. SHAHAB AFTAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD STE 100, PHOENIX, AZ 85013-4255
(602) 406-1510
(602) 406-7277
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26504
AZ
207RG0100X
Gastroenterology Physician
Primary
26504
AZ
207RG0100X
Gastroenterology Physician
MD195941
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
451295
—
AZ
Enumeration date
04/05/2006
Last updated
03/21/2025
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