Individual
MOHAMMAD FATEH SHAHZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 PONDER CT, SUITE 104, DANVILLE, KY 40422-9050
(859) 236-4216
(859) 238-9760
Mailing address
105 PONDER CT, SUITE 104, DANVILLE, KY 40422-9050
(859) 236-4216
(859) 238-9760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33429
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64332497
—
KY
Enumeration date
04/17/2006
Last updated
07/07/2010
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