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NPI Code Detail

MEDICARE: DR. SYED SHAHZAIB SOHAIL DO

MEDICARE: DR. SYED SHAHZAIB SOHAIL DO
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 PhysicianOS021107PA
2208M00000XHospitalist PhysicianOS021107PA

General Provider Information

NPI Number : 1356831259
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYED SHAHZAIB SOHAIL DO
Provider Business Mailing Address
First Line : 2601 HOLME AVE FL 3
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2096
Country : US
Telephone Number : 267-350-7418
Fax Number :
Provider Business Practice Location Address
First Line : 2601 HOLME AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-2096
Country : US
Telephone Number : 267-350-7418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2018
Last Update Date : 01/20/2023

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