Healthcare Provider Details

I. General information

NPI: 1003771254
Provider Name (Legal Business Name): INDIAN DOCTORS CLUB CHARITABLE FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 W BELLFORT AVE # 215
HOUSTON TX
77031-2368
US

IV. Provider business mailing address

9550 W BELLFORT AVE # 215
HOUSTON TX
77031-2368
US

V. Phone/Fax

Practice location:
  • Phone: 713-771-2255
  • Fax: 713-771-2251
Mailing address:
  • Phone: 713-771-2255
  • Fax: 713-771-2251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. AAMIR SHAIKH
Title or Position: CLINIC ADMINISTRATOR
Credential:
Phone: 713-505-5167