Provider Demographics
NPI:1780675496
Name:DAUD, SHAHNAZ KAUSAR (MD)
Entity Type:Individual
Prefix:
First Name:SHAHNAZ
Middle Name:KAUSAR
Last Name:DAUD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 KEISLER DR
Mailing Address - Street 2:STE. A
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7018
Mailing Address - Country:US
Mailing Address - Phone:919-858-8481
Mailing Address - Fax:919-858-8426
Practice Address - Street 1:301 KEISLER DR
Practice Address - Street 2:STE A
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7018
Practice Address - Country:US
Practice Address - Phone:919-858-8481
Practice Address - Fax:919-858-8426
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38322207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8927134Medicaid
NCD477514Medicare UPIN
NC2291145Medicare PIN