Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khurram Shafique

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093159899

Khurram Shafique is a Pathology in Fargo, North Dakota. Qualified in 2006, 20 years ago. Practices with Naples Pathology Associates PA, a 12-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
20
Licensed in
ND
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

5225 23rd Ave S
Fargo, ND 58104-7927
Phone: (701) 417-2575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence 15742 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093159899
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2013
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019
Mailing address450 Clarkson Ave, Box 1262, Brooklyn, NY 11203-2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Naples Pathology Associates Pa — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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