Individual
FAHAD SHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
L-240525
MA
2086S0129X
Vascular Surgery Physician
261471
MA
2086S0129X
Vascular Surgery Physician
Primary
61692
MN
Other
Enumeration date
05/20/2009
Last updated
08/20/2020
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