DR. SHAZAD ASHRAF BUKSH DPM NPI 1942793708

NPI Information

NPI: 1942793708
Provider Name: DR. SHAZAD ASHRAF BUKSH, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1797 TIMBERLINE LN SE
SALEM, OR
ZIP 97306
Phone: (833) 462-2692
Get Directions

DR. Shazad Ashraf Buksh, DPM is a foot and ankle surgery podiatrist in Salem, OR with 6 years of experience. DR. Shazad Ashraf Buksh, DPM NPI is 1942793708. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1797 TIMBERLINE LN SE
SALEM, OR
ZIP 97306-564
Phone: (833) 462-2692
Fax: (833) 342-1173

The NPI 1942793708 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/7/2018 and was last updated on 3/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO61157008	WASHINGTON	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	P-262	IDAHO	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	DP197850	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500791205	MEDICAID	OREGON
2	R227870	OTHER		MEDICARE PTAN
3	P02649430	OTHER		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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