MEDICARE: SHINEMD MEDICAL GROUP, PLLC

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1255261053
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHINEMD MEDICAL GROUP, PLLC

Provider Business Mailing Address
First Line	:	1135 CASTELLINA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-1048
Country	:	US
Telephone Number	:	310-719-5107
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 NORTH LOOP W STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-8110
Country	:	US
Telephone Number	:	832-509-5099
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JANAK ATUL PARIKH
Credential	:	MD
Telephone Number	:	310-719-5107

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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