Provider Demographics
NPI:1376796599
Name:SHEKHEL, TATYANA A (DO)
Entity Type:Individual
Prefix:MS
First Name:TATYANA
Middle Name:A
Last Name:SHEKHEL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3030 N CENTRAL AVE STE 1001
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2716
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:916-636-4358
Practice Address - Street 1:500 W THOMAS RD STE 900B
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4224
Practice Address - Country:US
Practice Address - Phone:602-406-2323
Practice Address - Fax:602-406-4272
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2019-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ006204207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease