MEDICARE: DR. KAREEM W. SHEHAB M.D.

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	2080P0208X	Pediatric Infectious Diseases Physician	45948	AZ

General Provider Information

NPI Number	:	1144414442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREEM W. SHEHAB M.D.

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:	PO BOX 245073
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-9436
Fax Number	:	520-626-5652

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-9436
Fax Number	:	520-626-5652

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

Provider Enumeration Date	:	08/29/2007
Last Update Date	:	07/03/2012

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