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General NPI Number Information
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NPI Number | 1013860725
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Entity Type | Organization
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Legal Business Name | SHOUKAT & KANEEZ FAMILY PHYSICIANS PLLC
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 5957 PARADISE CIR UNIT F
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City | SAGINAW
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State | MI
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Zip | 48604-5904
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Country | US
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Telephone | 617-671-9067
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Fax | 857-267-9788
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Provider Business Mailing Address
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Address Line | 5957 PARADISE CIR UNIT F
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City | SAGINAW
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State | MI
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Zip | 48604-5904
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Country | US
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Telephone | 617-671-9067
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Fax | 857-267-9788
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARYUM SHOUKAT
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Credential | MD
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Telephone | 617-671-9067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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