Shaghayegh Assar, DO

Individual provider Active NPI Family Medicine Physician · Kingman, AZ

NPI 1699516005 · NPPES record last updated Jun 3, 2024

Key facts

NPI
1699516005
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
R4231 (AZ)
Practice address
3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone
(928) 263-3160
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R4231AZMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4231 AZ Yes

Addresses

Primary practice location

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619

Mailing address

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 263-3160

Other providers in Kingman, AZ

All providers in Kingman, AZ · Family Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.