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NPI Code Detail

MEDICARE: SHANZE TAHIR MBBS

MEDICARE:   SHANZE  TAHIR  MBBS
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 ProgramNJ

General Provider Information

NPI Number : 1588503791
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANZE TAHIR MBBS
Provider Business Mailing Address
First Line : 253D LAFAYETTE RD APT 1G
Second Line :
City : EDISON
State : NJ
Zip : 08837-2412
Country : US
Telephone Number : 732-744-5119
Fax Number :
Provider Business Practice Location Address
First Line : 65 JAMES ST
Second Line :
City : EDISON
State : NJ
Zip : 08820-3947
Country : US
Telephone Number : 732-744-5119
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ SHANZE TAHIR MBBS” Practice Location

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