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NPI Code Detail

MEDICARE: DR. SHAZIA NAIB M.D.

MEDICARE: DR. SHAZIA NAIB M.D.
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician062573GA

General Provider Information

NPI Number : 1841313749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAZIA NAIB M.D.
Provider Business Mailing Address
First Line : 2395 MOSSY BRANCH DR
Second Line :
City : SNELLVILLE
State : GA
Zip : 30078-7775
Country : US
Telephone Number : 770-695-0719
Fax Number :
Provider Business Practice Location Address
First Line : 2124 CANDLER RD
Second Line :
City : DECATUR
State : GA
Zip : 30032-5572
Country : US
Telephone Number : 404-836-0272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2007
Last Update Date : 01/28/2020

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