Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RP1001X | Pulmonary Disease | P5091 | TX |
Y | 207RS0012X | Sleep Medicine | P5091 | TX |
NPI | 1013922970 |
---|---|
Provider Name | Shahzad Jokhio |
First Address | Galveston, TX 77555-0561 |
Second Address | Galveston, TX 77555-5302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 24/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02797799 | (05) | NY |