Healthcare Provider Details
I. General information
NPI: 1932583382
Provider Name (Legal Business Name): NEHAN ANAM SHER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/15/2015
Last Update Date: 08/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13400 E SHEA BLVD
SCOTTSDALE AZ
85259
US
IV. Provider business mailing address
13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5499
US
V. Phone/Fax
- Phone: 773-344-7355
- Fax:
- Phone: 480-301-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 125.066906 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QH0002X |
| Taxonomy | Hospice and Palliative Medicine (Family Medicine) Physician |
| License Number | 56552 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: