MEDICARE: SHABANA PARVEZ MD

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	207P00000X	Emergency Medicine Physician	M7506	TX
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	M7506	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8AA312	OTHER	TX	BCBS
3	8AB545	OTHER	TX	BCBSTX
4	P00879699	OTHER	TX	RRMCARE THRU HEB
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124019260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHABANA PARVEZ MD

Provider Business Mailing Address
First Line	:	2831 OAK GLEN CT
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-0401
Country	:	US
Telephone Number	:	682-256-2749
Fax Number	:	833-295-9082

Provider Business Practice Location Address
First Line	:	2831 OAK GLEN CT
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-0401
Country	:	US
Telephone Number	:	682-256-2749
Fax Number	:	833-295-9082

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

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	03/06/2025

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Directions to “ SHABANA PARVEZ MD” Practice Location

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