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NPI Code Detail

MEDICARE: DR. JOSEPH SHAYEB M.D.

MEDICARE: DR. JOSEPH SHAYEB 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
1207R00000XInternal Medicine PhysicianJ3604TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00292446OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18S7060OTHERTXBCBS
3100252105OTHERTXFIRST CARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528049590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH SHAYEB M.D.
Provider Business Mailing Address
First Line : 701 WEST 5TH STREET
Second Line : DEPARTMENT OF INTERNAL MEDICINE, SUITE 3106
City : ODESSA
State : TX
Zip : 79763
Country : US
Telephone Number : 432-703-4350
Fax Number : 432-335-5297
Provider Business Practice Location Address
First Line : 701 WEST 5TH STREET
Second Line : DEPARTMENT OF INTERNAL MEDICINE, SUITE 3106
City : ODESSA
State : TX
Zip : 79763
Country : US
Telephone Number : 432-703-4350
Fax Number : 432-335-5297
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 07/30/2025

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