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NPI Code Detail

MEDICARE: ABDULLAH SHOAIB M.D.

MEDICARE: ABDULLAH SHOAIB M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0402XNeurology with Special Qualifications in Child Neurology PhysicianU2641TX
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1003349788
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULLAH SHOAIB M.D.
Provider Business Mailing Address
First Line : 1935 MEDICAL DISTRICT DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-7701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6201 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-9201
Country : US
Telephone Number : 214-648-3916
Fax Number : 214-648-3916
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2017
Last Update Date : 04/08/2024

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