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NPI Code Detail

MEDICARE: DR. FAHD SHAUKAT MD

MEDICARE: DR. FAHD SHAUKAT 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
1208M00000XHospitalist Physician81362WI
2207R00000XInternal Medicine Physician81362-20WI

General Provider Information

NPI Number : 1649883794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FAHD SHAUKAT MD
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5702
Country : US
Telephone Number : 715-387-5511
Fax Number : 715-389-5119
Provider Business Practice Location Address
First Line : 1000 N OAK AVE
Second Line :
City : MARSHFIELD
State : WI
Zip : 54449-5702
Country : US
Telephone Number : 715-389-5127
Fax Number : 715-389-5119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 06/02/2026

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