MEDICARE: SHAHID A BANGASH 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	207K00000X	Allergy & Immunology Physician	K3076	TX
2	207KA0200X	Allergy Physician	K3076	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8V3621	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1235204082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAHID A BANGASH M.D.

Provider Business Mailing Address
First Line	:	56 E PRICE RD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-3508
Country	:	US
Telephone Number	:	956-548-2020
Fax Number	:	956-548-2025

Provider Business Practice Location Address
First Line	:	56 E PRICE RD
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78521-3508
Country	:	US
Telephone Number	:	956-548-2020
Fax Number	:	956-548-2025

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	06/19/2026

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Directions to “ SHAHID A BANGASH M.D.” Practice Location

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