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NPI Code Detail

MEDICARE: MS. SHAZIA NIAZI

MEDICARE: MS. SHAZIA NIAZI
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
1172V00000XCommunity Health Worker
2373H00000XDay Training/Habilitation Specialist
3390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1396283719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHAZIA NIAZI
Provider Business Mailing Address
First Line : 1212 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1552
Country : US
Telephone Number : 209-468-1661
Fax Number : 209-953-5276
Provider Business Practice Location Address
First Line : 1212 N CALIFORNIA ST
Second Line :
City : STOCKTON
State : CA
Zip : 95202-1552
Country : US
Telephone Number : 209-468-1661
Fax Number : 209-953-5276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2017
Last Update Date : 06/07/2026

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Directions to “ MS. SHAZIA NIAZI ” Practice Location

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