| Doctor Name: | SHAZIA BASHIR |
| NPI Number: | 1073788634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D, |
| License Number: | 81755 |
| Business Practice Address: | 2370 Market Dr Fleming Island, FL - 320034326 |
| Business Phone Number: | 9042646201 |
| Business Fax Number: | 9042646858 |
| Mailing Address: | 7015 A C Skinner Pkwy, Suite 1 JACKSONVILLE |
| State: | FL |
| Postal Code: | 322566932 |
| Phone Number: | 9043632113 |
| Fax Number: | 9043632606 |
| NPI Enumeration Date: | 04/24/2008 |
| NPI Last Update Date: | 11/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 81755 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |