Individual
DR. SHAZAD ASHRAF BUKSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1797 TIMBERLINE LN SE, SALEM, OR 97306-9564
(833) 462-2692
(833) 342-1173
Mailing address
1797 TIMBERLINE LN SE, SALEM, OR 97306-9564
(833) 469-2692
(833) 342-1173
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP197850
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
P-262
ID
213ES0103X
Foot & Ankle Surgery Podiatrist
PO61157008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500791205
—
OR
01
—
P02649430
RAILROAD MEDICARE
—
01
—
R227870
MEDICARE PTAN
—
Enumeration date
06/07/2018
Last updated
03/05/2023
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