MEDICARE: MADEEHA SHAHZADI MD

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
1	207R00000X	Internal Medicine Physician	25MA10446400	NJ
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	01097023A	IN
3	207RP1001X	Pulmonary Disease Physician	C3844	KY
4	390200000X	Student in an Organized Health Care Education/Training Program
5	207RP1001X	Pulmonary Disease Physician	25MA10446400	NJ

General Provider Information

NPI Number	:	1487056008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADEEHA SHAHZADI MD

Provider Business Mailing Address
First Line	:	459 OREGON ST
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-5623
Country	:	US
Telephone Number	:	973-816-6796
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 FRANKLIN TPKE STE 104
Second Line	:
City	:	MAHWAH
State	:	NJ
Zip	:	07430-3517
Country	:	US
Telephone Number	:	201-995-1005
Fax Number	:	201-995-1007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2014
Last Update Date	:	06/26/2025

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Directions to “ MADEEHA SHAHZADI MD” Practice Location

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