Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 60516 | AZ |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 60516 | AZ |
NPI | 1679917025 |
---|---|
Provider Name | Ashkaun Shaterian |
First Address | Phoenix, AZ 85037-5904 |
Second Address | Phoenix, AZ 85037-5904 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2013 |
Last Update Date | 09/04/2021 |