Individual
ERAM SHAHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2731
(701) 234-2158
Mailing address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2731
(701) 234-2158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10650
ND
207R00000X
Internal Medicine Physician
PT 10650
ND
207RN0300X
Nephrology Physician
Primary
10650
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14291
—
ND
05
—
81356
—
ND
Enumeration date
07/11/2007
Last updated
03/29/2022
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