MEDICARE: HAZAEL SHAKUR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LPO43693	AZ

General Provider Information

NPI Number	:	1003230970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAZAEL SHAKUR

Provider Business Mailing Address
First Line	:	3848 N 3RD AVE UNIT 2019
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-3461
Country	:	US
Telephone Number	:	602-435-3535
Fax Number	:

Provider Business Practice Location Address
First Line	:	3848 N 3RD AVE UNIT 2019
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-3461
Country	:	US
Telephone Number	:	602-435-3535
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2014
Last Update Date	:	02/12/2014

Similar Medicare Providers

1568190429 — JIMMY MUYUMBU
Practice Location Address:

10835 N 25TH AVE STE 125
PHOENIX, AZ
85029-3461

Practice Phone: 520-331-5287
Practice Fax:

1235831199 — JEAN DE DIEU NTABANGANYIMANA
Practice Location Address:

10835 N 25TH AVE STE 125
PHOENIX, AZ
85029-3461

Practice Phone: 480-426-9335
Practice Fax:

1982306049 — AQUARIUS CAMPBELL
Practice Location Address:

10835 N 25TH AVE STE 125
PHOENIX, AZ
85029-3461

Practice Phone: 602-632-2546
Practice Fax:

1710815790 — PATIENTCARE, INC.
Practice Location Address:

300 W CLARENDON AVE STE 316
PHOENIX, AZ
85013-3495

Practice Phone: 917-966-0886
Practice Fax:

1104313634 — JOHN LACSON
Practice Location Address:

2927 N 7TH AVE
PHOENIX, AZ
85013-4102

Practice Phone: 602-406-3153
Practice Fax: 602-406-7176

1275220550 — ASA GRAY-BUCHTA
Practice Location Address:

350 W THOMAS RD
PHOENIX, AZ
85013-4409

Practice Phone: 602-406-3000
Practice Fax:

Directions to “ HAZAEL SHAKUR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.