Individual
KHALID SHAFIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACC, FSCAI
Contact information
Practice address
1775 FARM ROAD 195, PARIS, TX 75462-2855
(903) 739-2700
(903) 784-1749
Mailing address
1775 FARM ROAD 195, PARIS, TX 75462-2855
(903) 739-2700
(903) 784-1749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K2588
TX
207RC0000X
Cardiovascular Disease Physician
Primary
K2588
TX
207RI0011X
Interventional Cardiology Physician
K2588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060052969
RAILROAD MEDICARE
TX
05
—
100049730B
—
OK
05
—
130896707
—
TX
01
—
8CR957
BCBS
TX
Enumeration date
06/10/2005
Last updated
02/17/2015
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