Shahroz Kidwai M.D.

NPI 1013200062 - Family Medicine - 207Q00000X

NPI Details
NPI 1013200062
Gender Male
Enumeration Date 05/24/2011
Last Updated 09/14/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
1321 W 2ND AVE
SUITE 100
CORSICANA TX, 75110-3798, US
Phone (903) 874-9206
Fax (903) 874-4234
Business Location
1321 W 2ND AVE
SUITE 100
CORSICANA TX, 75110-3798, US
Phone (903) 874-9206
Fax (903) 641-3847
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number BP10041634
Remove 1013200062 NPI Number
 

According to our database, Dr. Shahroz Kidwai M.D. NPI is 1013200062, taxonomy code is 207Q00000X and license number is BP10041634, license state is located at Texas. Shahroz Kidwai M.D. physically located at 1321 W 2nd Ave, Corsicana TX, 75110-3798. NPI Number Shahroz Kidwai M.D. has the Individual type.

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1013200062 NPI number is provided on an as is basis without warranty of any kind. 1013200062 is maintained by the National Plan & Provider Enumeration System. The contents of Shahroz Kidwai M.D. are for informational purposes only.