Provider Demographics
NPI:1528941069
Name:SHAKSHOUK, HADIR (MD)
Entity type:Individual
Prefix:
First Name:HADIR
Middle Name:
Last Name:SHAKSHOUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5335 S VALENTIA WAY APT 427
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3127
Mailing Address - Country:US
Mailing Address - Phone:720-793-9122
Mailing Address - Fax:
Practice Address - Street 1:5335 S VALENTIA WAY APT 427
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3127
Practice Address - Country:US
Practice Address - Phone:720-793-9122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COTL.0010781207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology