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NPI Code Detail

MEDICARE: SHAFQAT ULLAH MBBS

MEDICARE: SHAFQAT ULLAH MBBS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1013855535
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAFQAT ULLAH MBBS
Provider Business Mailing Address
First Line : 801 W MAPLE ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-5630
Country : US
Telephone Number : 505-609-2000
Fax Number : 505-609-2425
Provider Business Practice Location Address
First Line : 801 W MAPLE ST
Second Line :
City : FARMINGTON
State : NM
Zip : 87401-5630
Country : US
Telephone Number : 505-609-2000
Fax Number : 505-609-2425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ SHAFQAT ULLAH MBBS” Practice Location

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