NPI 1093159899
Khurram Shafique
Practice location
- Address
- 5225 23rd Ave S, Fargo, ND 58104-7927
- Phone
- (701) 417-2575
- Mailing address
- 450 Clarkson Ave Box 1262, Brooklyn, NY 11203-2012
Registered specialties (2)
Clinical Pathology/Laboratory Medicine Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1093159899
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Apr 2013
- Record last updated
- 31 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.