Individual
MD SHAHADUZZAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
7812 GATEWAY BLVD. EAST, SUITE 110, EL PASO, TX 79915
(915) 533-2888
Mailing address
7812 GATEWAY BLVD. E. SUITE 110, EL PASO, TX 79915
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP135140
TX
Other
Enumeration date
09/27/2017
Last updated
12/24/2022
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