MEDICARE: SHIMAILA H ZUBERI 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	207Q00000X	Family Medicine Physician	L9974	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8C0841	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1811977150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHIMAILA H ZUBERI MD

Provider Business Mailing Address
First Line	:	7612 MAIN STREET
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056
Country	:	US
Telephone Number	:	972-625-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	7612 MAIN STREET
Second Line	:
City	:	THE COLONY
State	:	TX
Zip	:	75056
Country	:	US
Telephone Number	:	972-625-7000
Fax Number	:

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	03/16/2022

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Directions to “ SHIMAILA H ZUBERI MD” Practice Location

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