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NPI Code Detail

MEDICARE: SHUMAILA ATHAR M.D.

MEDICARE: SHUMAILA ATHAR 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
1207Q00000XFamily Medicine PhysicianP8844TX

General Provider Information

NPI Number : 1174813380
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHUMAILA ATHAR M.D.
Provider Business Mailing Address
First Line : 4001 W 15TH ST STE 245
Second Line :
City : PLANO
State : TX
Zip : 75093-5839
Country : US
Telephone Number : 972-596-5222
Fax Number :
Provider Business Practice Location Address
First Line : 4001 W 15TH ST STE 245
Second Line :
City : PLANO
State : TX
Zip : 75093-5839
Country : US
Telephone Number : 972-596-5222
Fax Number : 972-596-5291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2011
Last Update Date : 06/08/2023

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Directions to “ SHUMAILA ATHAR M.D.” Practice Location

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