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NPI Code Detail

MEDICARE: SAMIRA SHAHNAZ

MEDICARE: SAMIRA SHAHNAZ
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
1207R00000XInternal Medicine PhysicianQ4695TX

General Provider Information

NPI Number : 1134495575
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMIRA SHAHNAZ
Provider Business Mailing Address
First Line : 3375 LAKE AUSTIN BLVD APT C
Second Line :
City : AUSTIN
State : TX
Zip : 78703-5543
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3375 LAKE AUSTIN BLVD APT C
Second Line :
City : AUSTIN
State : TX
Zip : 78703-5543
Country : US
Telephone Number : 512-284-0670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2012
Last Update Date : 05/23/2016

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Directions to “ SAMIRA SHAHNAZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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