Enayat, Abdul Shukoor
Enayat, Abdul Shukoor is an individual health care provider with primary practice located at 12550 Hesperia Rd Ste 100 , Victorville CA 92395-5873. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Enayat, Abdul Shukoor can be contacted via phone (760) 241-6666.Contact Information
Primary practice address
12550 Hesperia Rd Ste 100
Victorville CA 92395-5873
Phone: (760) 241-6666
Fax: (760) 947-5619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MC16944 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C150664 | California |
Profile Details
| NPI number | 1255372181 |
|---|---|
| LBN Legal business name | Enayat, Abdul Shukoor |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255372181 | NPPES |
| Tennessee | Other | P00614804 | RAILROAD MEDICARE PTAN |
| Tennessee | Other | 44D0984814 | RAILROAD MEDICARE PTAN |
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