# ID CLINIC CONSULTANTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073060331
- **Authorized official:** DR. ZAKIR HUSSAIN A SHAIKH MD (DIRECTOR)
- **Authorized official phone:** (972) 947-3200

## Contact information

- **Practice address:** 908 AUDELIA RD, STE 200 \#323, RICHARDSON, TX 75081-5166
- **Practice address phone:** (972) 947-3200
- **Practice address fax:** (972) 947-3201
- **Mailing address:** 908 AUDELIA RD, STE 200 \#323, RICHARDSON, TX 75081-5166
- **Mailing address phone:** (972) 947-3200
- **Mailing address fax:** (972) 947-3201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | K9168 | TX | Yes |

## Other

- **Enumeration date:** 09/04/2016
- **Last updated:** 09/04/2016