Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | MD465300 | PA |
NPI | 1265743959 |
---|---|
Provider Name | Shabnam Hafiz |
First Address | Miami, FL 33136-1005 |
Second Address | York, PA 17403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 04/09/2018 |