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1588616205

NPI Code Detail

MEDICARE: DR. SHAHID AZIZ DO

MEDICARE: DR. SHAHID AZIZ DO

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	207RG0100X	Gastroenterology Physician	5101010847	MI
2	207RG0100X	Gastroenterology Physician	H2225	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00265072	OTHER		MEDICARE RR

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
2	H2225	OTHER	TX	TEXAS LICENSE NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8S7610	OTHER	TX	BCBS IND. NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588616205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAHID AZIZ DO

Provider Business Mailing Address
First Line	:	1000 W CANNON ST
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3029
Country	:	US
Telephone Number	:	817-290-2239
Fax Number	:	817-885-7811

Provider Business Practice Location Address
First Line	:	3304 COOLEY CT
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-7430
Country	:	US
Telephone Number	:	269-349-2266
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/30/2026

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Directions to “ DR. SHAHID AZIZ DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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