Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 45948 | AZ |
NPI | 1144414442 |
---|---|
Provider Name | Dr. Kareem W. Shehab |
First Address | Tucson, AZ 85724-5073 |
Second Address | Tucson, AZ 85724-5073 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2007 |
Last Update Date | 03/07/2012 |