Individual
BENJAMIN SHAHABI-AZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1395 GEORGE DIETER DR, EL PASO, TX 79936-7499
(915) 298-7222
Mailing address
9318 HOKE DR, SAN ANTONIO, TX 78254-2224
(915) 203-8743
(210) 855-0801
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R4321
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
05/29/2019
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