Individual
SHEZAAN MOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7390
Mailing address
9808 BADEN LN, AUSTIN, TX 78754-5516
(512) 820-3374
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD.45229
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
12/13/2022
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