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NPI Code Detail

MEDICARE: DANIYAL NADEEM

MEDICARE: DANIYAL NADEEM
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 Program
2207RR0500XRheumatology PhysicianMD.MD.70045111WA

General Provider Information

NPI Number : 1942973433
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIYAL NADEEM
Provider Business Mailing Address
First Line : 1501 KINGS HWY
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4228
Country : US
Telephone Number : 318-626-0434
Fax Number :
Provider Business Practice Location Address
First Line : 1615 DELAWARE ST
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2367
Country : US
Telephone Number : 360-414-2700
Fax Number : 360-442-6830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2021
Last Update Date : 05/13/2026

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Directions to “ DANIYAL NADEEM ” Practice Location

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