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Individual

SHADEN Z KHALAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R3356
TX
207UN0901X
Nuclear Cardiology Physician
R3356
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
416833803
TX
01
416833804
CSHCN
TX
Enumeration date
03/22/2012
Last updated
10/09/2025
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