Michael Shishov, MD | |
1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85016-1459 | |
(602) 933-0909 | |
(602) 933-0911 |
Full Name | Michael Shishov |
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Gender | Male |
Speciality | Pediatrics - Pediatric Rheumatology |
Location | 1920 E Cambridge Ave, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972552396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0216X | Pediatrics - Pediatric Rheumatology | 35371 (Arizona) | Primary |
Entity Name | Phoenix Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
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Michael Shishov, MD 1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85006-1459 Ph: (602) 933-0909 | Michael Shishov, MD 1920 E Cambridge Ave, Suite 200, Phoenix, AZ 85016-1459 Ph: (602) 933-0909 |
Dr. Amit Rajaram, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0198 | |
Dr. Patricia Ranjinee Halpe, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3141 N 3rd Ave, Phoenix, AZ 85013 Phone: 602-914-1520 Fax: 602-914-1521 | |
Dr. Angela Monique Valdez-huizar, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3333 E Van Buren St, Phoenix, AZ 85008 Phone: 602-933-0945 Fax: 602-933-4263 | |
Benjmamin Thomas Carlson, PTA Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5314 N 7th St, Phoenix, AZ 85014 Phone: 602-277-5006 | |
Julianna Diddle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1000 | |
Alexandra Palacios, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0945 | |
Dr. Salil V. Pradhan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5404 Fax: 602-344-5859 |