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NPI Code Detail

MEDICARE: SHAIMAA MADBULY

MEDICARE:   SHAIMAA  MADBULY
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1437713096
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAIMAA MADBULY
Provider Business Mailing Address
First Line : 1333 OLD SPANISH TRL APT 3110
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1862
Country : US
Telephone Number : 347-440-6811
Fax Number :
Provider Business Practice Location Address
First Line : 1333 OLD SPANISH TRL APT 3110
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1862
Country : US
Telephone Number : 347-440-6811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2019
Last Update Date : 03/24/2022

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Directions to “ SHAIMAA MADBULY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.