Individual
FAHEEM SHUJAUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12121 RICHMOND AVE, SUITE # 204, HOUSTON, TX 77082-2432
(281) 531-8013
(281) 531-7237
Mailing address
12121 RICHMOND AVE, SUITE # 204, HOUSTON, TX 77082-2432
(281) 531-8013
(281) 531-7237
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H7508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122856105
—
TX
01
—
E38571
UPIN #
TX
Enumeration date
09/15/2006
Last updated
09/26/2011
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