Individual
SHABNAM GUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1845 CHERRY ST, MONTGOMERY, AL 36107-2613
(334) 420-5001
(334) 420-0160
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT193956
PA
Other
Enumeration date
07/08/2008
Last updated
10/29/2024
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