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NPI Code Detail

MEDICARE: DR. HOMA SHAHNAWAZ MD

MEDICARE: DR. HOMA SHAHNAWAZ MD
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
1207Q00000XFamily Medicine PhysicianME108518FL
2261QE0002XEmergency Care Clinic/Center01287NC
3261QE0002XEmergency Care Clinic/Center221914NY
4208D00000XGeneral Practice Physician200301287NC

General Provider Information

NPI Number : 1558439554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOMA SHAHNAWAZ MD
Provider Business Mailing Address
First Line : 3802 CROSSTIMBERS DR
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-2131
Country : US
Telephone Number : 925-207-1155
Fax Number :
Provider Business Practice Location Address
First Line : 3801 W MARKET ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-1301
Country : US
Telephone Number : 336-883-0029
Fax Number : 336-883-0867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 06/09/2026

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