MEDICARE: SHSMEDSERVICE PLLC

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

General Provider Information

NPI Number	:	1629907886
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHSMEDSERVICE PLLC

Provider Business Mailing Address
First Line	:	1708 GOLDENROD LN
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-9756
Country	:	US
Telephone Number	:	469-471-4867
Fax Number	:

Provider Business Practice Location Address
First Line	:	1708 GOLDENROD LN
Second Line	:
City	:	KELLER
State	:	TX
Zip	:	76248-9756
Country	:	US
Telephone Number	:	469-471-4867
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHAHZAD SHALLWANI
Credential	:	MD
Telephone Number	:	469-471-4867

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “SHSMEDSERVICE PLLC ” Practice Location

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