Individual
MUDASSIR AHMED SHAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PEAKWOOD DR STE 5E, HOUSTON, TX 77090
(281) 440-5158
Mailing address
800 PEAKWOOD DR STE 5E, HOUSTON, TX 77090-2903
(281) 440-5158
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C1-0007686
DE
2085R0202X
Diagnostic Radiology Physician
Primary
L3119
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1466781-09
—
TX
Enumeration date
05/03/2006
Last updated
06/01/2021
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