Provider Demographics
NPI:1427407543
Name:SAFDAR, NIDA SHAHZAD (MD)
Entity Type:Individual
Prefix:
First Name:NIDA
Middle Name:SHAHZAD
Last Name:SAFDAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3445 EXECUTIVE CENTER DR
Mailing Address - Street 2:STE 250
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1678
Mailing Address - Country:US
Mailing Address - Phone:512-579-4000
Mailing Address - Fax:512-439-2814
Practice Address - Street 1:3445 EXECUTIVE CENTER DR
Practice Address - Street 2:STE 250
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1678
Practice Address - Country:US
Practice Address - Phone:512-579-4000
Practice Address - Fax:512-439-2814
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2021-07-01
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Provider Licenses
StateLicense IDTaxonomies
MA267682207ZP0102X
TXT0914207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology