Shagufta Maududi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0116018112 Issued in VA

Practice address

1314 Peters Creek Rd NW
Roanoke, VA 24017-2500

Phone

(540) 562-5700

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275744229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 CIRCLE BROOK DR APT C",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PETERS CREEK RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172500",
            "telephone_number": "540-562-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUDUDI",
        "first_name": "SHAGUFTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116018112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Matthews, D.O.
• Colleen James Mattocks, DO
• Akirah Monaye Mattox
• Kelly Grote Matutina, OTR/L
• Andrew Jason Matzner, L.C.S.W.
• Lauren Maule, OTR/L
• Travis Wade Maule, MSN, APRN, FNP-C
• Rebecca Lynn Maupin, RN
• Kajal Mawa
• Yao Elie Serge-Ghislain Mawussi, MD

• Family Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.