Individual
IMRAN SHAHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6124 W. PARKER ROAD, SUITE G-36, PLANO, TX 75093-8124
(972) 981-3107
(972) 981-3236
Mailing address
6124 W. PARKER ROAD, SUITE G-36, PLANO, TX 75093-8124
(972) 981-3107
(972) 981-3236
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
J0866
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
J0866
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103350803
—
TX
Enumeration date
03/29/2006
Last updated
08/06/2016
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