MEDICARE: OMAR SHAKEEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	S5497	TX
2	208000000X	Pediatrics Physician	77926	GA
3	2080P0207X	Pediatric Hematology & Oncology Physician	S5497	TX

General Provider Information

NPI Number	:	1205255866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OMAR SHAKEEL M.D.

Provider Business Mailing Address
First Line	:	6701 FANNIN ST STE 1510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2613
Country	:	US
Telephone Number	:	727-410-6456
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 FANNIN ST STE 1510
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2613
Country	:	US
Telephone Number	:	832-822-3847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	07/16/2025

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Directions to “ OMAR SHAKEEL M.D.” Practice Location

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