Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD427378 | PA |
NPI | 1033109756 |
---|---|
Provider Name | Uzma Shahzad |
First Address | Butler, PA 16003-1549 |
Second Address | Butler, PA 16001-4670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 29/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1014602310001 | (05) | PA |
1014602310002 | (05) | PA |
1782326 | BCBS (01) | PA |
I47678 | (02) | PA |