Buksh, Shazad Ashraf

Buksh, Shazad Ashraf is an sole proprietor health care provider with primary practice located at 1797 Timberline Ln Se , Salem OR 97306-9564. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Buksh, Shazad Ashraf can be contacted via phone (833) 462-2692.

Contact Information

Primary practice address
1797 Timberline Ln Se Salem OR 97306-9564
Phone: (833) 462-2692
Fax: (833) 342-1173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO61157008 Washington
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P-262 Idaho
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X DP197850 Oregon

Profile Details

NPI number 1942793708
LBN Legal business name Buksh, Shazad Ashraf
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2018
Last updated Mar 5th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942793708 NPPES
Oregon MEDICAID 500791205
Oregon Other R227870
Oregon Other P02649430

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