Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | D0040314 | MD |
NPI | 1578541488 |
---|---|
Provider Name | Dr. Sheikh Irfan Shafique |
First Address | Gettysburg, PA 17325-8599 |
Second Address | Baltimore, MD 21201-5402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 13/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
073891300 | (05) | MD |
2849 | B/C B/S (01) | DC |
E99592 | (02) | MD |
J062 | B/C B/S (01) | MD |
KA80 | B/C B/S (01) | MD |