MEDICARE: DR. JAHANZEB RAFI SHAIKH 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	207R00000X	Internal Medicine Physician	V0160	TX
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	V0160	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V0160	OTHER	TX	TEXAS MEDICAL BOARD

General Provider Information

NPI Number	:	1598391591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAHANZEB RAFI SHAIKH MD

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7901 RESEARCH FOREST DR STE 400
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77382-1482
Country	:	US
Telephone Number	:	914-689-4064
Fax Number	:

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

Provider Enumeration Date	:	03/21/2020
Last Update Date	:	07/30/2024

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