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1649278870

NPI Code Detail

MEDICARE: SHAHID SHEKHANI MD

MEDICARE: SHAHID SHEKHANI MD

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	207RX0202X	Medical Oncology Physician	4301064127	MI
2	207RX0202X	Medical Oncology Physician	44136-20	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00277426	OTHER	MI	RAILROAD MEDICARE
8	P00657878CD3624	OTHER	WI	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000517515	OTHER	IN	ANTHEM BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	110270056	OTHER	MI	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	SHEKHSA	OTHER	WI	MERCYCARE INSURANCE

General Provider Information

NPI Number	:	1649278870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHID SHEKHANI MD

Provider Business Mailing Address
First Line	:	1000 MINERAL POINT AVE
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53548-2940
Country	:	US
Telephone Number	:	608-756-6871
Fax Number	:	608-756-6501

Provider Business Practice Location Address
First Line	:	1000 MINERAL POINT AVE
Second Line	:
City	:	JANESVILLE
State	:	WI
Zip	:	53548-2940
Country	:	US
Telephone Number	:	608-756-6871
Fax Number	:	608-756-6501

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	08/11/2020

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Directions to “ SHAHID SHEKHANI MD” Practice Location

Language	Start Address	Practice Location

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