Healthcare Provider Details

I. General information

NPI: 1013860725
Provider Name (Legal Business Name): SHOUKAT & KANEEZ FAMILY PHYSICIANS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5957 PARADISE CIR UNIT F
SAGINAW MI
48604-5904
US

IV. Provider business mailing address

5957 PARADISE CIR UNIT F
SAGINAW MI
48604-5904
US

V. Phone/Fax

Practice location:
  • Phone: 617-671-9067
  • Fax: 857-267-9788
Mailing address:
  • Phone: 617-671-9067
  • Fax: 857-267-9788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARYUM SHOUKAT
Title or Position: PRESIDENT
Credential: MD
Phone: 617-671-9067