SHAKEELA WAZEEN BAHADUR MD NPI 1922209063

NPI Information

NPI: 1922209063
Provider Name: SHAKEELA WAZEEN BAHADUR, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
2946 E BANNER GATEWAY DR
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
Get Directions

Shakeela Wazeen Bahadur, MD is a medical oncology internal medicine in Gilbert, AZ with 20 years of experience. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Shakeela Wazeen Bahadur, MD NPI is 1922209063. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2946 E BANNER GATEWAY DR
GILBERT, AZ
ZIP 85234
Phone: (480) 256-6444
Fax: (480) 256-4683

The NPI 1922209063 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 5/29/2007 and was last updated on 11/16/2017.

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	207R00000X	Internal Medicine		202117	LOUISIANA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		202117	LOUISIANA	No
3	207RX0202X	Internal Medicine	Medical Oncology	44418	ARIZONA	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
1	4N385CP07	MEDICARE PIN	LOUISIANA
2	616870	MEDICAID	ARIZONA
3	1091871	MEDICAID	LOUISIANA
4	4N385DE77	MEDICARE PIN	LOUISIANA
5	4N385DE91	MEDICARE PIN	LOUISIANA
6	Z147356	MEDICARE PIN	ARIZONA

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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