Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | M0508 | TX |
Y | 207RX0202X | Medical Oncology | M0508 | TX |
NPI | 1023088853 |
---|---|
Provider Name | Mrs. Shagufta Naz Naqvi IV |
First Address | Houston, TX 77055 |
Second Address | Houston, TX 77094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 29/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
174126601 | (05) | TX |
H72991 | (02) | TX |