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NPI Code Detail

MEDICARE: SHAZIA AMINA M.D.

MEDICARE: SHAZIA AMINA 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 PhysicianM2538TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38S6149OTHERTXBCBS

General Provider Information

NPI Number : 1417992066
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAZIA AMINA M.D.
Provider Business Mailing Address
First Line : PO BOX 301173
Second Line :
City : DALLAS
State : TX
Zip : 75303-1173
Country : US
Telephone Number : 713-500-3500
Fax Number :
Provider Business Practice Location Address
First Line : 818 RINGOLD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77088-6368
Country : US
Telephone Number : 281-260-3401
Fax Number : 281-260-3343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 11/29/2023

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Directions to “ SHAZIA AMINA M.D.” Practice Location

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