Individual
SHAKIL I HAFIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
804 S WALNUT ST, FREEMAN, SD 57029-2033
(605) 925-4219
Mailing address
804 S. WALNUT, FREEMAN, SD 57029
(605) 925-4219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125062434
IL
207Q00000X
Family Medicine Physician
Primary
9671
SD
Other
Enumeration date
07/11/2012
Last updated
10/15/2015
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