Individual
SHAFQAT ULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
(505) 609-2425
Mailing address
801 W MAPLE ST, FARMINGTON, NM 87401-5630
(505) 609-2000
(505) 609-2425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RS2026-0035
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
04/13/2026
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