Provider Demographics
NPI:1033109756
Name:SHAHZAD, UZMA (MD)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:SHAHZAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:UZMA
Other - Middle Name:
Other - Last Name:HABIB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16003-1549
Mailing Address - Country:US
Mailing Address - Phone:724-284-4060
Mailing Address - Fax:724-284-4144
Practice Address - Street 1:1 HOSPITAL WAY
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4670
Practice Address - Country:US
Practice Address - Phone:724-284-4309
Practice Address - Fax:724-284-7464
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD427378207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1014602310001Medicaid
PA1014602310002Medicaid
PA1782326OtherBCBS
PA097025Medicare PIN
PAI47678Medicare UPIN
PA097025NHGMedicare PIN
PA1782326OtherBCBS