MEDICARE: SHANE SPEIRS MD II PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	207R00000X	Internal Medicine Physician
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1699650044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANE SPEIRS MD II PLLC

Provider Business Mailing Address
First Line	:	501 N 44TH ST STE 450
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-6526
Country	:	US
Telephone Number	:	602-491-0703
Fax Number	:

Provider Business Practice Location Address
First Line	:	813 SOUTHBRIDGE ST
Second Line	:
City	:	AUBURN
State	:	MA
Zip	:	01501-1323
Country	:	US
Telephone Number	:	602-491-0703
Fax Number	:	508-832-6479

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. FARAH KHAN
Credential	:	MD
Telephone Number	:	480-495-5485

Provider Enumeration Date	:	08/06/2025
Last Update Date	:	06/11/2026

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