Healthcare Provider Details

I. General information

NPI: 1255261053
Provider Name (Legal Business Name): SHINEMD MEDICAL GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 NORTH LOOP W STE 150
HOUSTON TX
77018-8110
US

IV. Provider business mailing address

1900 NORTH LOOP W STE 150
HOUSTON TX
77018-8110
US

V. Phone/Fax

Practice location:
  • Phone: 832-509-5099
  • Fax:
Mailing address:
  • Phone: 832-509-5099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JANAK ATUL PARIKH
Title or Position: PHYSICIAN
Credential: MD
Phone: 310-719-5107