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NPI Code Detail

MEDICARE: MUHAMMAD SHAFIQUE MD PC

MEDICARE: MUHAMMAD SHAFIQUE MD PC
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 Physician10299NV

General Provider Information

NPI Number : 1639329543
Entity Type Code : Organization
Provider Name (Legal Business Name) : MUHAMMAD SHAFIQUE MD PC
Provider Business Mailing Address
First Line : 10620 SOUTHERN HIGHLANDS PKWY
Second Line : SUITE 110-410
City : LAS VEGAS
State : NV
Zip : 89141-4371
Country : US
Telephone Number : 702-210-5275
Fax Number :
Provider Business Practice Location Address
First Line : 10620 SOUTHERN HIGHLANDS PKWY
Second Line : SUITE 110-410
City : LAS VEGAS
State : NV
Zip : 89141-4371
Country : US
Telephone Number : 702-210-5275
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MUHAMMAD SHAFIQUE
Credential : MD
Telephone Number : 702-228-7812
Provider Enumeration Date : 09/27/2008
Last Update Date : 06/23/2010

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