Mukaddam, Shazia

Mukaddam, Shazia is an individual health care provider with primary practice located at 5100 Coconut Creek Pkwy , Margate FL 33063-3913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mukaddam, Shazia can be contacted via phone (954) 281-7700.

Contact Information

Primary practice address
5100 Coconut Creek Pkwy Margate FL 33063-3913
Phone: (954) 281-7700
Fax: (954) 715-7603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08136600 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME129980 Florida

Profile Details

NPI number 1356429625
LBN Legal business name Mukaddam, Shazia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Mar 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356429625 NPPES
New Jersey MEDICAID 0125661

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