Individual
SHAMA PERVAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87111-1110
(505) 247-4164
Mailing address
8080 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87111-1110
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD2024-0012
NM
Other
Enumeration date
04/21/2022
Last updated
04/29/2025
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