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NPI Code Detail

MEDICARE: SHAIK HUMA FIRDHOS

MEDICARE: SHAIK HUMA FIRDHOS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1144084542
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAIK HUMA FIRDHOS
Provider Business Mailing Address
First Line : 1125 ECHO PASS ST
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3801
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7901 E 22ND ST
Second Line :
City : TUCSON
State : AZ
Zip : 85710-8509
Country : US
Telephone Number : 520-694-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2024
Last Update Date : 06/19/2026

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Directions to “ SHAIK HUMA FIRDHOS ” Practice Location

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