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Individual

SHAHID A BANGASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
56 E PRICE RD, BROWNSVILLE, TX 78521-3508
(956) 548-2020
(956) 548-2025
Mailing address
56 E PRICE RD, BROWNSVILLE, TX 78521-3508
(956) 548-2020
(956) 548-2025

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
K3076
TX
207KA0200X
Allergy Physician
Primary
K3076
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100683505
TX
01
8V3621
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/21/2006
Last updated
11/27/2018
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