Provider Demographics
NPI:1366084717
Name:SHAMKHI, AHDAF J
Entity type:Individual
Prefix:
First Name:AHDAF
Middle Name:J
Last Name:SHAMKHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 GUINEA RD
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-9101
Mailing Address - Country:US
Mailing Address - Phone:207-329-6860
Mailing Address - Fax:
Practice Address - Street 1:36 GUINEA RD
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-9101
Practice Address - Country:US
Practice Address - Phone:207-329-6860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-16
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health