Whalio Doctors

NPI 1093159899

Khurram Shafique

Practitioner Clinical Pathology/Laboratory Medicine Physician Fargo, ND

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
Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X Licence 15742 (ND)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

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.