MEDICARE: ARIF M. SHOAIB 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
1	2084P0800X	Psychiatry Physician	L4121	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

General Provider Information

NPI Number	:	1407838394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIF M. SHOAIB M.D.

Provider Business Mailing Address
First Line	:	PO BOX 742704
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77274-2704
Country	:	US
Telephone Number	:	713-660-8877
Fax Number	:	713-660-9697

Provider Business Practice Location Address
First Line	:	5851 SAN FELIPE ST
Second Line	:	425
City	:	HOUSTON
State	:	TX
Zip	:	77057-3076
Country	:	US
Telephone Number	:	713-660-8877
Fax Number	:	713-660-9697

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	05/10/2017

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