Individual
SHAHNAZ FATTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
817 S UNIVERSITY DR, SUITE 106, PLANTATION, FL 33324-3309
(954) 723-0334
(954) 723-0807
Mailing address
817 S UNIVERSITY DR, SUITE 106, PLANTATION, FL 33324-3309
(954) 723-0334
(954) 723-0807
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME63504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374011100
—
FL
Enumeration date
03/08/2006
Last updated
09/29/2016
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