Basic Information
Provider Information
NPI: 1295174324
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHAHZAD
FirstName: UZMA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 41 UNIVERSITY DR STE 300
Address2:  
City: NEWTOWN
State: PA
PostalCode: 189401873
CountryCode: US
TelephoneNumber: 2157107037
FaxNumber: 2157105181
Practice Location
Address1: 1205 LANGHORNE NEWTOWN RD STE 403
Address2:  
City: LANGHORNE
State: PA
PostalCode: 190471223
CountryCode: US
TelephoneNumber: 2157104460
FaxNumber: 2157104465
Other Information
ProviderEnumerationDate: 06/21/2013
LastUpdateDate: 01/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QG0300XMD463628PAY Allopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine

No ID Information.


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