ASFANDIAR A SHUKRI MD NPI 1255316295

NPI Information

NPI: 1255316295
Provider Name: ASFANDIAR A SHUKRI, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
1459 S CENTER RD
BURTON, MI
ZIP 48509
Phone: (810) 496-0900
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Asfandiar A Shukri, MD is a general practice in Burton, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Asfandiar A Shukri, MD NPI is 1255316295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1459 S CENTER RD
BURTON, MI
ZIP 48509-726
Phone: (810) 496-0900
Fax: (810) 742-3891

The enumeration date for this NPI number is 12/13/2005 and was last updated on 5/20/2008.

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	208D00000X	General Practice		4301044126	MICHIGAN	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	080D410020	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
2	0M92460010	MEDICARE PIN	MICHIGAN
3	010063368	MEDICARE PIN	MICHIGAN
4	201895	OTHER	MICHIGAN	MCLAREN HEALTH PLAN
5	AS044126	OTHER	MICHIGAN	BCBS
6	B49445	OTHER	MICHIGAN	HAP
7	700B511870	OTHER	MICHIGAN	BLUE CARE NETWORK
8	201895	OTHER	MICHIGAN	HEALTH ADVANTAGE NETWORK
9	0984529	OTHER	MICHIGAN	HEALTH PLUS
10	4688388	MEDICAID	MICHIGAN
11	104172498	MEDICAID	MICHIGAN
12	080D410020	OTHER	MICHIGAN	COMMUNITY BLUE PPO
13	OM28430057	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
14	B49445	MEDICARE UPIN	MICHIGAN
15	3497004	MEDICAID	MICHIGAN

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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