Provider Demographics
NPI:1164748810
Name:SHOKR, AIMAN (MD)
Entity Type:Individual
Prefix:
First Name:AIMAN
Middle Name:
Last Name:SHOKR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7130 BELL STREET
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-7003
Mailing Address - Country:US
Mailing Address - Phone:806-373-4010
Mailing Address - Fax:806-331-6373
Practice Address - Street 1:7130 BELL STREET
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-7003
Practice Address - Country:US
Practice Address - Phone:806-373-4010
Practice Address - Fax:806-331-6373
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ3802208000000X, 207P00000X, 207R00000X
IN01072902A208M00000X
INQ3802208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201183560Medicaid
IN201183560Medicaid