=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750248043
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHILOH FAMILY MEDICAL CENTER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/07/2026
-----------------------------------------------------
Last Update Date | 01/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 525 SHILOH RD STE 3300
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75074-7265
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-814-0003
-----------------------------------------------------
Fax | 469-814-0004
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 525 SHILOH RD STE 3300
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75074-7265
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 469-814-0003
-----------------------------------------------------
Fax | 469-814-0004
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. IFFAT TAMEEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 443-979-9331
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------