Provider Demographics
NPI:1972345007
Name:SHEHZAD, BUSHRA (MD)
Entity type:Individual
Prefix:MS
First Name:BUSHRA
Middle Name:
Last Name:SHEHZAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BUSHRA
Other - Middle Name:
Other - Last Name:SHEHZAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:44405 WOODWARD AVE. GRADUATE MEDICAL EDUCATION DEPARTME
Mailing Address - Street 2:TRINITY HEALTH OAKLAND
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341
Mailing Address - Country:US
Mailing Address - Phone:248-858-3235
Mailing Address - Fax:248-858-3244
Practice Address - Street 1:44405 WOODWARD AVE. GRADUATE MEDICAL EDUCATION DEPARTME
Practice Address - Street 2:TRINITY HEALTH OAKLAND
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341
Practice Address - Country:US
Practice Address - Phone:248-858-6225
Practice Address - Fax:248-858-3244
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351053609390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program