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General NPI Number Information
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NPI Number | 1396498358
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Entity Type | Organization
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Legal Business Name | STARID PLLC
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 6315 CENTRAL CITY BLVD APT 412
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City | GALVESTON
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State | TX
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Zip | 77551-3805
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Country | US
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Telephone | 773-746-5646
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Fax |
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Provider Business Mailing Address
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Address Line | 1853 PEARLAND PKWY STE 123
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City | PEARLAND
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State | TX
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Zip | 77581-8864
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Country | US
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Telephone | 832-569-7575
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Fax | 832-321-2979
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Authorized Official
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Title or Position | OWNER
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Name | MONICA SHAH
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Credential | DO
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Telephone | 773-746-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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