Healthcare Provider Details

I. General information

NPI: 1295174324
Provider Name (Legal Business Name): UZMA SHAHZAD M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2013
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 EASTON RD STE 2900
WARRINGTON PA
18976-2908
US

IV. Provider business mailing address

PO BOX 824320
PHILADELPHIA PA
19182-4320
US

V. Phone/Fax

Practice location:
  • Phone: 267-864-0020
  • Fax: 267-864-0021
Mailing address:
  • Phone: 215-762-0810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD463628
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberMD463628
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: