MD SHAHADUZZAMAN (NPI# 1356850861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356850861 |
| Entity Type | Individual |
| Full Name | MD SHAHADUZZAMAN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
7812 Gateway Blvd. East, Suite 110 El Paso TX 79915 |
| Mailing Address |
7812 Gateway Blvd. E. Suite 110 El Paso TX 79915 |
| Practice Telephone | 9155332888 |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP135140 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7812 GATEWAY BLVD. EAST, SUITE 110 |
| City | EL PASO |
| State | TX |
| Zip Code | 79915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081527 | Sandra Juarez | Licensed Vocational Nurse | 173 Coronado Rd #1008 Bldg 1, El Paso, TX 79915 | 2019-06-10 |
| 1801247473 | Laura Alejandra Moreno Garcia | Pediatrics | 6974 Gateway Blvd E Ste F, El Paso, TX 79915 | 2016-06-24 |
| 1699133801 | El Paso Oral Surgery Center, Pllc | Dentist | 7878 Gateway Blvd East, Suite 301, El Paso, TX 79915 | 2016-02-02 |
| 1851763296 | Shela Marie Carter | Counselor | 7833 Corozal Dr., El Paso, TX 79915 | 2015-10-26 |
| 1841680691 | Texan Procedure Center, LLC | Clinic/Center | 7924 Gateway Blvd E Ste 150j, El Paso, TX 79915 | 2015-02-02 |
| 1356749105 | Walter Nongmo Zimoh | Pharmacist | 8045 North Loop Drive, El Paso, TX 79915 | 2014-12-10 |
| 1073918892 | Edgar B Reyes | Home Health | 183 Edith Dr., El Paso, TX 79915 | 2014-10-23 |
| 1275934408 | Sonia Esther Cortez | Counselor | 7722 North Loop, Suite 5, El Paso, TX 79915 | 2014-09-08 |
| 1336570704 | Elsa Erika Gomez | Counselor | 7722 Northloop, El Paso, TX 79915 | 2013-12-10 |
| 1588931042 | The Croc Doc, P.C. | Dentist | 7878 Gateway East Blvd, El Paso, TX 79915 | 2011-11-28 |
| Find all providers in zip 79915 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869720 | Karen Daniela Padilla Sanchez | Nurse Practitioner | 7430 N Mesa St, El Paso, TX 79912-3504 | 2020-10-20 |
| 1962035337 | Bobbi Eugenia Deras | Nurse Practitioner | 4305 N Mesa St Ste B, El Paso, TX 79902-1124 | 2020-02-13 |
| 1083259147 | Moises Gutierrez | Nurse Practitioner | 2000b Trans Mountain Rd Ste 270, El Paso, TX 79911-3600 | 2019-11-13 |
| 1558928184 | Warren Kimmel | Nurse Practitioner | 4305 N Mesa St Ste A, El Paso, TX 79902-1124 | 2019-05-20 |
| 1497233464 | Suzanne M Denson | Nurse Practitioner | 4305 N Mesa St Ste A, El Paso, TX 79902-1124 | 2018-08-01 |
| 1295286557 | Edwin Lopez | Nurse Practitioner | 4801 Alberta Ave, El Paso, TX 79905 | 2016-10-20 |
| 1578916458 | Nilda D Martinez | Nurse Practitioner | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2016-07-15 |
| 1265804454 | Gabriel Mendoza | Nurse Practitioner | 4305 N Mesa St, Suite A, El Paso, TX 79902-1123 | 2015-10-27 |
| 1326417106 | Guillermina Nelson | Nurse Practitioner | 4305 N Mesa St, Suite A, El Paso, TX 79902-1123 | 2015-09-22 |
| 1568852440 | Marjorie Nicole Reliford | Nurse Practitioner | 4305 N Mesa St, Suite A, El Paso, TX 79902-1123 | 2015-01-29 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.