MEDICARE: SHAZIA HAMID 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	11267	NV

General Provider Information

NPI Number	:	1720467814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAZIA HAMID MD

Provider Business Mailing Address
First Line	:	4205 S GRAND CANYON DR STE 20
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-7152
Country	:	US
Telephone Number	:	702-293-6700
Fax Number	:	702-293-6711

Provider Business Practice Location Address
First Line	:	4205 S GRAND CANYON DR
Second Line	:	SUITE 20
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-7152
Country	:	US
Telephone Number	:	702-228-9870
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	SHAZIA HAMID
Credential	:	MD
Telephone Number	:	702-293-6700

Provider Enumeration Date	:	05/22/2015
Last Update Date	:	11/09/2024

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