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NPI Code Detail

MEDICARE: SHAADI JOHN ABUGHAZALEH

MEDICARE: SHAADI JOHN ABUGHAZALEH
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
1207RG0100XGastroenterology PhysicianU9803TX

General Provider Information

NPI Number : 1487159984
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAADI JOHN ABUGHAZALEH
Provider Business Mailing Address
First Line : 15555 CREEK BEND DR STE 200
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4670
Country : US
Telephone Number : 832-707-5011
Fax Number :
Provider Business Practice Location Address
First Line : 15555 CREEK BEND DR STE 200
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4670
Country : US
Telephone Number : 832-707-5011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 02/09/2026

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Directions to “ SHAADI JOHN ABUGHAZALEH ” Practice Location

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