Michael Shishov
Pediatric Rheumatologist
1920 E Cambridge Ave Suite 200
Phoenix
, Arizona 85016-1459
Michael Shishov
Pediatric Rheumatologist
1920 E Cambridge Ave Suite 200
Phoenix
, Arizona 85016-1459
(602) 933-0911
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About
Features
Specialties
- Pediatric Rheumatologist
Languages spoken
- English
Location
First Address
- Michael Shishov
- 1920 E Cambridge Ave Suite 200
- Phoenix, AZ
- Zip : 85006-1459
- Fax : (602) 933-0911
- Phone : (602) 933-0909
Second Address
- Michael Shishov
- 1920 E Cambridge Ave Suite 200
- Phoenix, AZ
- Zip : 85016-1459
- Fax : (602) 933-0911
- Phone : (602) 933-0909
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0216X | Pediatric Rheumatologist | 35371 | AZ |
National Provider Identifier
| NPI | 1972552396 |
|---|---|
| Provider Name | Michael Shishov |
| First Address | Phoenix, AZ 85006-1459 |
| Second Address | Phoenix, AZ 85016-1459 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 22/11/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.