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NPI Code Detail

MEDICARE: DR. IMRAN SHAFIQUE M.D

MEDICARE:  DR. IMRAN  SHAFIQUE  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
1390200000XStudent in an Organized Health Care Education/Training Program4301087796MI
2207RN0300XNephrology PhysicianP9456TX
3207RN0300XNephrology Physician30932OK
4207R00000XInternal Medicine Physician4301087796MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P01474081OTHERTXRAILROAD MEDICARE
6P01474183OTHEROKRAILROAD MEDICARE
8OB56031OTHERMIMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11102514562OTHERMIBCBSM INDIVIDUAL PIN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4OB56031OTHERMIBCBSM GROUP
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326238593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IMRAN SHAFIQUE M.D
Provider Business Mailing Address
First Line : 2741 FM 691
Second Line :
City : DENISON
State : TX
Zip : 75020
Country : US
Telephone Number : 903-893-7170
Fax Number : 903-893-4372
Provider Business Practice Location Address
First Line : 2741 FM 691
Second Line :
City : DENISON
State : TX
Zip : 75020
Country : US
Telephone Number : 903-893-7170
Fax Number : 903-893-4372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2007
Last Update Date : 01/13/2026

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Directions to “ DR. IMRAN SHAFIQUE M.D” Practice Location

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