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

Mr. Haitham Shakir

Individual provider Medical Physician Assistant · NPI 1386411379

Mr. Haitham Shakir is a Physician Assistant in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Good Health Medical PLLC, a 218-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492
Phone: (480) 677-8282
Fax: (844) 470-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10956 (AZ)

Record details

NPI number1386411379
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 8, 2023
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Good Health Medical Pllc — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations18 on file with Medicare

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