Provider Demographics
NPI:1578845350
Name:SHAHZAD, NAZIM (RPH, PHD)
Entity Type:Individual
Prefix:
First Name:NAZIM
Middle Name:
Last Name:SHAHZAD
Suffix:
Gender:M
Credentials:RPH, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 N HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-3407
Mailing Address - Country:US
Mailing Address - Phone:410-951-5940
Mailing Address - Fax:410-951-5946
Practice Address - Street 1:6 N HOWARD ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-3407
Practice Address - Country:US
Practice Address - Phone:410-951-5940
Practice Address - Fax:410-951-5946
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-16
Last Update Date:2011-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16270183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist