Provider Demographics
NPI:1205046331
Name:SHUKAIRY, AMAN KHALED (MD)
Entity type:Individual
Prefix:DR
First Name:AMAN
Middle Name:KHALED
Last Name:SHUKAIRY
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1560 E MAPLE RD
Mailing Address - Street 2:SUITE 400-CREDENTIALING
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1138
Mailing Address - Country:US
Mailing Address - Phone:248-581-5976
Mailing Address - Fax:248-581-5640
Practice Address - Street 1:1160 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3437
Practice Address - Country:US
Practice Address - Phone:810-820-8230
Practice Address - Fax:810-820-8937
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2021-01-06
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Provider Licenses
StateLicense IDTaxonomies
MI4301087660207W00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P30630676Medicare PIN