MEDICARE: MOHAMED M. SHAHIN 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
1	2085R0204X	Vascular & Interventional Radiology Physician	48891	TX
2	2085R0204X	Vascular & Interventional Radiology Physician	279237	MA

General Provider Information

NPI Number	:	1033594452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED M. SHAHIN M.D.

Provider Business Mailing Address
First Line	:	6431 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-7631
Fax Number	:	713-500-7639

Provider Business Practice Location Address
First Line	:	6431 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-500-7631
Fax Number	:	713-500-7639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	12/01/2025

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