Individual
SHAHID NAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
285 SILLS RD BLDG 16, EAST PATCHOGUE, NY 11772-4808
(631) 751-3000
(631) 509-6559
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(315) 096-5596
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
200023
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02490128
—
NY
Enumeration date
06/10/2005
Last updated
01/31/2020
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