MEDICARE: DR. JOSEPH SHAYEB 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	207R00000X	Internal Medicine Physician	J3604	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00292446	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8S7060	OTHER	TX	BCBS
3	100252105	OTHER	TX	FIRST CARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528049590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH SHAYEB M.D.

Provider Business Mailing Address
First Line	:	701 WEST 5TH STREET
Second Line	:	DEPARTMENT OF INTERNAL MEDICINE, SUITE 3106
City	:	ODESSA
State	:	TX
Zip	:	79763
Country	:	US
Telephone Number	:	432-703-4350
Fax Number	:	432-335-5297

Provider Business Practice Location Address
First Line	:	701 WEST 5TH STREET
Second Line	:	DEPARTMENT OF INTERNAL MEDICINE, SUITE 3106
City	:	ODESSA
State	:	TX
Zip	:	79763
Country	:	US
Telephone Number	:	432-703-4350
Fax Number	:	432-335-5297

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/30/2025

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Directions to “ DR. JOSEPH SHAYEB M.D.” Practice Location

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