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Individual

SHOYAB ABDULRAHIM PANCHBHAYA

Active
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Individual

SHOYAB ABDULRAHIM PANCHBHAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L9415
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171539301
—
TX
01
—
1725871
LA - MEDICAID
LA
01
—
8K7238
BLUE CROSS
TX
01
—
P00303012
RAILROAD - MEDICARE
TX
Enumeration date
01/16/2007
Last updated
07/02/2020
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