Individual
FOWAD SHAHZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-2020
(260) 266-2009
Mailing address
2450 W HUNTING PARK AVE, 3RD FLOOR, PHILADELPHIA, PA 19129-1302
(215) 707-2433
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01082951A
IN
207R00000X
Internal Medicine Physician
C175555
CA
207R00000X
Internal Medicine Physician
MD207767
OR
207R00000X
Internal Medicine Physician
MD449023
PA
208M00000X
Hospitalist Physician
Primary
01082951A
IN
Other
Enumeration date
12/21/2012
Last updated
05/22/2025
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