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1265666911

NPI Code Detail

MEDICARE: TARIK SHAHEEN

MEDICARE: TARIK SHAHEEN

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	2084P0800X	Psychiatry Physician	0101254873	VA
2	2084P0800X	Psychiatry Physician	MD60869375	WA
3	2084P0800X	Psychiatry Physician	63932	MN
4	2084P0804X	Child & Adolescent Psychiatry Physician	MD60869375	WA
5	2084P0804X	Child & Adolescent Psychiatry Physician	0101254873	VA
6	2084P0800X	Psychiatry Physician	MD175575	OR
7	2084P0800X	Psychiatry Physician	161-320	WI
8	2084P0804X	Child & Adolescent Psychiatry Physician	Q2061	TX
9	2084P0804X	Child & Adolescent Psychiatry Physician	63932	MN
10	2084P0804X	Child & Adolescent Psychiatry Physician	MD175575	OR
11	2084P0804X	Child & Adolescent Psychiatry Physician	161-320	WI
12	2084P0800X	Psychiatry Physician	Q2061	TX

General Provider Information

NPI Number	:	1265666911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARIK SHAHEEN

Provider Business Mailing Address
First Line	:	807 WEST AVE
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-2207
Country	:	US
Telephone Number	:	512-838-4264
Fax Number	:	512-838-4264

Provider Business Practice Location Address
First Line	:	3500 GASTON AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-2088
Country	:	US
Telephone Number	:	512-838-4264
Fax Number	:

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

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	04/16/2019

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Directions to “ TARIK SHAHEEN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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