Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | L1742 | TX |
Y | 111NI0900X | Internist | L1742 | TX |
N | 207RI0200X | Infectious Disease | L1742 | TX |
NPI | 1033128665 |
---|---|
Provider Name | Dr. Akram Shakhashiro |
First Address | Houston, TX 77024-2575 |
Second Address | Houston, TX 77024-2575 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 30/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
142466507 | (05) | TX |
203918670 | TAX ID (01) | TX |
G47974 | (02) | TX |
L1742 | LICENSE (01) | TX |