Shokat, Maximilian Shahryar

Shokat, Maximilian Shahryar is an individual health care provider with primary practice located at 615 S Hansell St , Thomasville GA 31792-5556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Shokat, Maximilian Shahryar can be contacted via phone (229) 226-2234.

Contact Information

Primary practice address
615 S Hansell St Thomasville GA 31792-5556
Phone: (229) 226-2234
Fax: (229) 226-2237
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X OS10271 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 60192 Georgia

Profile Details

NPI number 1659559789
LBN Legal business name Shokat, Maximilian Shahryar
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2008
Last updated Jan 31st, 2020 - about 5 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 1659559789 NPPES
Florida MEDICAID 002427200

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