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NPI Code Detail

MEDICARE: DR. MOHAMMED NASIR YOUSUF SHAH M.D.

MEDICARE: DR. MOHAMMED NASIR YOUSUF SHAH 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
1208M00000XHospitalist PhysicianT9241TX
2390200000XStudent in an Organized Health Care Education/Training Program
3207R00000XInternal Medicine PhysicianT9241TX
4207R00000XInternal Medicine PhysicianMD.33676AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104102086
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMED NASIR YOUSUF SHAH M.D.
Provider Business Mailing Address
First Line : 7600 BEECHNUT ST
Second Line :
City : HOUSTON
State : TX
Zip : 77074-4302
Country : US
Telephone Number : 713-456-5686
Fax Number :
Provider Business Practice Location Address
First Line : 7600 BEECHNUT ST
Second Line :
City : HOUSTON
State : TX
Zip : 77074-4302
Country : US
Telephone Number : 713-456-5686
Fax Number : 713-456-6836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2011
Last Update Date : 05/12/2026

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