Whalio Doctors

NPI 1366712176

Wisam Fawzi Shaba, MD

Practitioner Nuclear Medicine Physician Surprise, AZ

Practice location

Address
14775 W Yorkshire Dr, Surprise, AZ 85374-7224
Phone
(623) 594-5050
Mailing address
PO Box 11773, Chandler, AZ 85248-0013

Registered specialties (3)

Nuclear Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence 50677 (AZ)
Nuclear Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207U00000X Licence A117646 (CA)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence A117646 (CA)

Registry record

NPI
1366712176
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2012
Record last updated
30 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.