| Shikan Llc | |
|
4201 W Surrey Ave Phoenix AZ 85029-1974 | |
| (602) 299-9204 | |
| Not Available |
| Full Name | Shikan Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4201 W Surrey Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Rogia Mahgoob (CEO) |
| Authorized Official Contact | 6022999204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shikan Llc 4201 W Surrey Ave Phoenix AZ 85029-1974 Ph: (602) 299-9204 | Shikan Llc 4201 W Surrey Ave Phoenix AZ 85029-1974 Ph: (602) 299-9204 |
| NPI Number | 1700649670 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700649670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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