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1114192671
IQTIDAR UL-HASSAN SHAH
GREENVILLE, TX
NPI
1114192671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: TX E0365)
Enumeration Date
2008-04-25
Last Update Date
2008-05-20
Business Address
-- IQTIDAR UL-HASSAN SHAH MD
4004 MEDICAL PKWY
GREENVILLE, TX 75401-7854
Phone number: 903-455-4485
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Mailing Address
-- IQTIDAR UL-HASSAN SHAH MD
4004 MEDICAL PKWY
GREENVILLE, TX 75401-7854
Phone number: 903-455-4485
Copy
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