Doctor Name: | DR. IMRAN SHAFIQUE |
NPI Number: | 1326238593 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 4301087796 |
Business Practice Address: | 600 E Taylor St Suite 103 Sherman, TX - 750902881 |
Business Phone Number: | 9038937170 |
Business Fax Number: | 9038934372 |
Mailing Address: | 600 E Taylor St, Suite 103 SHERMAN |
State: | TX |
Postal Code: | 750902881 |
Phone Number: | 9038937170 |
Fax Number: | 9038934372 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301087796 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |