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

Shandiin Allura Sam

Individual provider Family Medicine Physician · NPI 1700466950

Shandiin Allura Sam is a Family Practice in Camp Verde, Arizona. Qualified in 2021, 5 years ago. Practices with Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm, a 223-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and New Mexico.

Years since qualifying
5
Licensed in
AZ, NM
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2400 W Datsi St
Camp Verde, AZ 86322-8412
Phone: (602) 263-1200
Fax: (602) 263-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73786 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1700466950
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Camp Verde