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NPI Code Detail

MEDICARE: DR. NOSHEEN MAZHAR MD

MEDICARE: DR. NOSHEEN MAZHAR 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
1207RR0500XRheumatology PhysicianME 98029FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558347146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOSHEEN MAZHAR MD
Provider Business Mailing Address
First Line : PO BOX 62707
Second Line :
City : FORT MYERS
State : FL
Zip : 33906-2707
Country : US
Telephone Number : 239-931-3440
Fax Number :
Provider Business Practice Location Address
First Line : 1528 DEL PRADO BLVD S
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3798
Country : US
Telephone Number : 239-458-3338
Fax Number : 239-458-0666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 12/05/2016

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Directions to “ DR. NOSHEEN MAZHAR MD” Practice Location

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