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:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1942793708 | NPPES |
| Oregon | MEDICAID | 500791205 | |
| Oregon | Other | R227870 | |
| Oregon | Other | P02649430 |
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