Individual
DR. ZOHRA SHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2459 E HEBRON PKWY STE 100, CARROLLTON, TX 75010-4477
(972) 757-0345
(972) 767-0335
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
036133413
IL
207SG0201X
Clinical Genetics (M.D.) Physician
35099265
OH
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
S0084
TX
208000000X
Pediatrics Physician
S0084
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393055401
—
TX
05
—
393055403
—
TX
05
—
393055407
—
TX
01
—
440164701
AR MEDICAID TEMP RX #
AR
Enumeration date
07/18/2007
Last updated
09/27/2021
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