MR. HAITHAM SHAKIR NPI 1386411379

NPI Information

  • NPI: 1386411379
  • Provider Name: MR. HAITHAM SHAKIR
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2640 W BASELINE RD STE 111
    PHOENIX, AZ
    ZIP 85041
  • Phone: (480) 677-8282

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NPI Details

MR. Haitham Shakir is a medical physician assistant in Phoenix, AZ with 2 years of experience. MR. Haitham Shakir NPI is 1386411379. 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:

2640 W BASELINE RD STE 111
PHOENIX, AZ
ZIP 85041-492
Phone: (480) 677-8282
Fax: (844) 470-2777

The NPI 1386411379 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), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2023 and was last updated on 3/31/2025.

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
1363AM0700XPhysician AssistantMedical10956ARIZONAYes

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: 11/21/2025

NPI Synchronization or Removal

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