Provider Demographics
NPI:1851319560
Name:SHOUKAIR, SAMI MOHAMMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMI
Middle Name:MOHAMMAD
Last Name:SHOUKAIR
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 1:424 ELMHURST PL
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3511
Mailing Address - Country:US
Mailing Address - Phone:714-523-7122
Mailing Address - Fax:714-523-9813
Practice Address - Street 1:5471 LA PALMA AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1745
Practice Address - Country:US
Practice Address - Phone:714-523-7122
Practice Address - Fax:714-523-9813
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39836207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA37233Medicare UPIN