Healthcare Provider Details

I. General information

NPI: 1992409718
Provider Name (Legal Business Name): DAWOOD SHEHZAD MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W 22ND ST
SIOUX FALLS SD
57105-1570
US

IV. Provider business mailing address

132 UNION AVE
CLIFTON NJ
07011-2630
US

V. Phone/Fax

Practice location:
  • Phone: 605-357-1410
  • Fax:
Mailing address:
  • Phone: 551-999-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: