Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WISAM FAWZI SHABA, M.D
ActiveWISAM FAWZI SHABA, M.D is a Nuclear Medicine healthcare provider located in SURPRISE, Arizona. NPI 1366712176 is currently active in the NPPES registry. Verify at CMS.
Nuclear Medicine · SURPRISE, AZ
Registration Details
- NPI Number
- 1366712176
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2012 (14.614010613651 yrs)
- Last Updated
- Mar 30, 2022
- Licenses
-
A117646 (CA)A117646 (CA)50677 (AZ)
Practice Information
- Address
-
14775 W YORKSHIRE DRSURPRISE, AZ, 853747224Browse AZ providers · Browse ZIP 85374
- Phone
- 6235945050
- Primary Specialty
-
Nuclear Medicine
207U00000X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Nuclear Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.