MEDICARE: FIDAA H SHAIB MD

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	207RP1001X	Pulmonary Disease Physician	38056	KY
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	38056	KY
3	207RP1001X	Pulmonary Disease Physician	P4381	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	:	1568446243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FIDAA H SHAIB MD

Provider Business Mailing Address
First Line	:	6620 MAIN ST
Second Line	:	STE 11C.06
City	:	HOUSTON
State	:	TX
Zip	:	77030-2348
Country	:	US
Telephone Number	:	713-798-2400
Fax Number	:	713-798-2791

Provider Business Practice Location Address
First Line	:	7200 CAMBRIDGE ST FL 8
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4202
Country	:	US
Telephone Number	:	713-798-2400
Fax Number	:

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

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	08/08/2024

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Directions to “ FIDAA H SHAIB MD” Practice Location

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