Provider Demographics
NPI:1245967496
Name:SAMARGANDY, SHEREEN AHMED G (MBBS, FRCSC)
Entity type:Individual
Prefix:
First Name:SHEREEN
Middle Name:AHMED G
Last Name:SAMARGANDY
Suffix:
Gender:F
Credentials:MBBS, FRCSC
Other - Prefix:
Other - First Name:SHIREEN
Other - Middle Name:
Other - Last Name:SAMARGANDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4601 N VIA ENTRADA APT 2050
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5873
Mailing Address - Country:US
Mailing Address - Phone:520-543-2198
Mailing Address - Fax:
Practice Address - Street 1:1625 N CAMPBELL AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-4330
Practice Address - Country:US
Practice Address - Phone:520-626-6673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ66986207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology