Individual
DR. SHAHID AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3304 COOLEY CT, PORTAGE, MI 49024-7430
(269) 349-2266
Mailing address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(817) 290-2239
(817) 885-7811
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
5101010847
MI
207RG0100X
Gastroenterology Physician
Primary
H2225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179767201
—
TX
05
—
179768002
—
TX
05
—
179768003
—
TX
01
—
8S7610
BCBS IND. NUMBER
TX
01
—
H2225
TEXAS LICENSE NUMBER
TX
01
—
P00265072
MEDICARE RR
—
Enumeration date
05/17/2006
Last updated
03/30/2026
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