Individual
FATIMA SHAHBAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
806 ESTATE PL, MEMPHIS, TN 38120-0600
(901) 767-3620
(901) 683-0285
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45074
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02707518
—
MS
01
—
6013651
BCBS
TN
05
—
Q005575
—
TN
Enumeration date
05/03/2007
Last updated
10/14/2024
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