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

MD Shahaduzzaman, NURSEPRACTITIONER

Individual provider Gerontology Nurse Practitioner · NPI 1356850861

MD Shahaduzzaman, NURSEPRACTITIONER is a Nurse Practitioner in El Paso, Texas. Qualified in 2017, 9 years ago. Practices with Select Outpatient Services Inc, a 790-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
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Practice location Address checks out

7812 Gateway Blvd E Ste 110
El Paso, TX 79915
Phone: (915) 533-2888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP135140 (TX)

Record details

NPI number1356850861
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESDecember 24, 2022
Certification dateDecember 24, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Select Outpatient Services Inc — 790 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in El Paso