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General NPI Number Information
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NPI Number | 1063602399
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Entity Type | Individual
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Provider Name | MURTAZA SHAKIR M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 410 W GRAND PKWY S STE 4D
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City | KATY
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State | TX
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Zip | 77494-8361
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Country | US
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Telephone | 713-955-9191
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Fax | 281-918-7392
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Provider Business Mailing Address
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Address Line | 410 W GRAND PKWY S STE 4D
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City | KATY
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State | TX
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Zip | 77494-8361
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Country | US
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Telephone | 713-955-9191
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Fax | 832-626-4099
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R4142
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | R4142
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License Number State | TX
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