MEDICARE: ASIM A SHAH 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	2084P0800X	Psychiatry Physician	E2071	AR
2	2084P0800X	Psychiatry Physician	M5495	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275525834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIM A SHAH M.D.

Provider Business Mailing Address
First Line	:	1977 BUTLER BLVD STE E4.400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4101
Country	:	US
Telephone Number	:	713-798-4857
Fax Number	:

Provider Business Practice Location Address
First Line	:	1977 BUTLER BLVD STE E4.400
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4101
Country	:	US
Telephone Number	:	713-798-4857
Fax Number	:

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

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	09/24/2025

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Directions to “ ASIM A SHAH M.D.” Practice Location

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