Most Relevant Information
Provider Data
| NPI Number: | 1003650599 |
| Provider Name: | SHANKA SHEVESHA EDWARDS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2024 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
2500 S 8TH AVE STE 200
YUMA
AZ
853647158
Practice Location Phone/Fax
| Phone: | 9283367095 |
| Fax: |
Provider Mailing Location
2400 S AVENUE A
YUMA
AZ
853647127
Provider Mailing Phone/Fax
| Phone: | 9283367095 |
| Fax: |