Provider Demographics
NPI:1225201395
Name:HANKS, SHELLI (MD)
Entity Type:Individual
Prefix:
First Name:SHELLI
Middle Name:
Last Name:HANKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4811 E GRANT RD
Mailing Address - Street 2:STE 216
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-2771
Mailing Address - Country:US
Mailing Address - Phone:520-618-1010
Mailing Address - Fax:520-784-7040
Practice Address - Street 1:5670 N PROFESSIONAL PARK DR
Practice Address - Street 2:STE120
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-7878
Practice Address - Country:US
Practice Address - Phone:520-618-6445
Practice Address - Fax:520-743-5443
Is Sole Proprietor?:No
Enumeration Date:2008-04-09
Last Update Date:2021-04-08
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Provider Licenses
StateLicense IDTaxonomies
AZ320192085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G36055Medicare UPIN