Individual
DR. IMRAN SHAFIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2741 FM 691, DENISON, TX 75020
(903) 893-7170
(903) 893-4372
Mailing address
2741 FM 691, DENISON, TX 75020
(903) 893-7170
(903) 893-4372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087796
MI
207RN0300X
Nephrology Physician
30932
OK
207RN0300X
Nephrology Physician
Primary
P9456
TX
390200000X
Student in an Organized Health Care Education/Training Program
4301087796
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102514562
BCBSM INDIVIDUAL PIN
MI
05
—
1326238593
—
MI
05
—
200579280A
—
OK
05
—
339185601
—
TX
01
—
OB56031
BCBSM GROUP
MI
01
—
P01474081
RAILROAD MEDICARE
TX
01
—
P01474183
RAILROAD MEDICARE
OK
Enumeration date
07/25/2007
Last updated
01/13/2026
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