Healthcare Provider Details

I. General information

NPI: 1215292404
Provider Name (Legal Business Name): ALSHIFA HEALTH CARE GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2012
Last Update Date: 07/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6060 RICHMOND AVE SUITE #110
HOUSTON TX
77057-6227
US

IV. Provider business mailing address

6060 RICHMOND AVE SUITE #110
HOUSTON TX
77057-6227
US

V. Phone/Fax

Practice location:
  • Phone: 281-974-3041
  • Fax: 832-487-9034
Mailing address:
  • Phone: 281-974-3041
  • Fax: 832-487-9034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number237238
License Number StateNY

VIII. Authorized Official

Name: MOHAMMED H ALNAHAOI
Title or Position: MEMBER
Credential:
Phone: 281-974-3041