Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MEHRDOD SHAKOURI ELEEZEH, D.O
ActiveDR. MEHRDOD SHAKOURI ELEEZEH, D.O is a General Practice healthcare provider located in CASA GRANDE, Arizona. NPI 1588190730 is currently active in the NPPES registry. Verify at CMS.
General Practice · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1588190730
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2017 (9.2408514986234 yrs)
- Last Updated
- May 30, 2023
- License
-
009309 (AZ)
Practice Information
- Address
-
560 N CAMINO MERCADO STE 7CASA GRANDE, AZ, 851225759Browse AZ providers · Browse ZIP 85122
- Phone
- 5208365538
- Fax
- 8447720049
- Primary Specialty
-
General Practice
208D00000X
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.