Shahan Fernando
M.D. | Pediatrics | Male
Shahan Fernando, M.D. is a Phoenix, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Shahan Fernando is
2525 E Roosevelt St, Phoenix, Arizona - 85008-4948. He can be contacted on phone at
602-344-1018.
Shahan Fernando is a sole proprietor of his business.
NPI number (Unique professional ID) for Shahan Fernando is
1184958803 which was assigned by NPPES on 29 Sep, 2009 and it was last updated on 27 Mar, 2015.
Shahan Fernando license number is
R71576 for Pediatrics (208000000X) in Arizona.
Shahan Fernando is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Shahan Fernando basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Shahan Fernando |
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Credential : | M.D. |
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Gender : | Male |
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Business Address:
Shahan Fernando address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 2525 E Roosevelt St Phoenix, AZ, 85008-4948 United States |
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Phone Number : | 602-344-1018 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1184958803 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 29 Sep, 2009 |
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Last Updated On : | 27 Mar, 2015 |
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Medicare Participation:
Shahan Fernando participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 7719298868 |
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Medicare Enrollment ID : | I20150731017287 |
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Primary Specialty : | Gastroenterology |
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Medical School : | University Of Arizona College Of Medicine |
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Graduation Year : | 2009 |
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Accepts Medicare? | Yes. Shahan Fernando accepts medicare insurance. |
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Group Practice Association:
Shahan Fernando is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Shahan Fernando is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Phoenix Children's Hospital | 0446278584 | 278 | 1919 E Thomas Rd Phoenix, AZ - 850167710 Ph: 6029331000 | Yes |
Phoenix Children's Hospital | 0446278584 | 278 | 5131 E Southern Ave Mesa, AZ - 852062799 Ph: 6029330002 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shahan Fernando are as mentioned. Primary taxonomy code for Shahan Fernando, M.D. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | R71576 | AZ |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 2525 E Roosevelt St Phoenix, AZ, 85008-4948 United States |
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Business Location:
Patients can refer following map for directions to
Shahan Fernando practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.