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

Dr. Mehrdod Shakouri Eleezeh, DO

Individual provider General Practice Physician · NPI 1588190730

Dr. Mehrdod Shakouri Eleezeh, DO is a Family Practice in Casa Grande, Arizona. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2017, 9 years ago. Licensed in Arizona.

Years since qualifying
9
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
AZ
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759
Phone: (520) 836-5538
Fax: (844) 772-0049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 009309 (AZ)

Record details

NPI number1588190730
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 10, 2017
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare