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Contact Information

MD SHAHADUZZAMAN, NURSE PRACTITIONER
7812 GATEWAY BLVD. EAST, SUITE 110
EL PASO, TX79915
 Phone: 915-533-2888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MD SHAHADUZZAMAN · (Male)

NPI # 1356850861
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 09/27/2017
Last updated 12/24/2022 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # AP135140
Hospital affiliation(s)
  • KADLEC REGIONAL MEDICAL CENTER - (Acute Care)
    888 SWIFT BLVD
    RICHLAND, WA 99352
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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