Provider Demographics
NPI:1922308055
Name:MUGHAL, SHAZIA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAZIA
Middle Name:
Last Name:MUGHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5555 W LAS POSITAS BLVD
Mailing Address - Street 2:5725 - SUITE #110
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4000
Mailing Address - Country:US
Mailing Address - Phone:925-416-6767
Mailing Address - Fax:925-416-6790
Practice Address - Street 1:5725 W LAS POSITAS BLVD
Practice Address - Street 2:SUITE #110
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4054
Practice Address - Country:US
Practice Address - Phone:925-416-6767
Practice Address - Fax:925-416-6790
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2016-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA123179207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine