NPI Search for Physicians and Health Care Providers
SHAHZAD MOHAMMED AZAD P.T
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1912212697
Individual Registrant:
SHAHZAD MOHAMMED AZAD P.T
Gender: M
Not Sole Proprietor
Location and contact information for practice:
17061 MAIN ST HESPERIA, CA 92345-6067 US
Tel: 760-956-4126 Fax: --
Contact information for business:
17061 MAIN ST HESPERIA, CA 92345-6067 US
Tel: 760-956-4126 Fax: --
Registration Information:
NPI: 1912212697
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist
| CA | 36727 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
TPAN | EP927Z | CA | 01 |
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