IndividualActive
Khurram Shafique
NPI 1093159899 · Clinical Pathology/Laboratory Medicine Physician · Fargo, ND
Provider details
- NPI number
- 1093159899
- Entity type
- Individual
- Primary specialty
- Clinical Pathology/Laboratory Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
Approximate (ZIP-level) locationGet directions
Mailing address
450 Clarkson Ave
Brooklyn, NY 11203-2012
Registry dates
- Enumerated
- 2013-04-23
- Last updated
- 2019-12-31
- Certified
- 2019-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.