Individual provider · Type 1 NPI
Tarek A. Shazly, MD
Student in an Organized Health Care Education/Training Program · Boston, MA
Practice location
Massachusetts Eye & Ear Infirmary, 243 Charles Street
Boston, MA 02114
Mailing address
1 University Of New Mexico Department Of Ophthalology
Albuquerque, NM 87131-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | L-235634 (MA) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | RS2017-0578 (NM) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1457581894
Tarek A. Shazly, MD's National Provider Identifier is 1457581894, issued on Jul 20, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jul 29, 2017.