Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dor Shalom Shoshan, MD

Individual provider Diagnostic Radiology Physician · NPI 1710448204

Dr. Dor Shalom Shoshan, MD is a Diagnostic Radiology in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Colorado, Florida and Georgia and 1 more.

Years since qualifying
7
Trained at
University of Arizona College of Medicine
Licensed in
AZ, CO, FL, GA, NC
In the registry since
2019
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

350 W Thomas Rd
Phoenix, AZ 85013-4496
Phone: (877) 342-0031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 N Elm St, High Point, NC 27262-4331 — (336) 878-6000

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 61096 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2024-03111 (NC)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence TM287 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME166116 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CO)

Record details

NPI number1710448204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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