Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | R4142 | TX |
N | 208600000X | Surgeon | R4142 | TX |
Y | 2086X0206X | Surgical Oncologist | R4142 | TX |
NPI | 1063602399 |
---|---|
Provider Name | Dr. Murtaza Shakir |
First Address | Houston, TX 77094-1287 |
Second Address | Houston, TX 77094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2007 |
Last Update Date | 30/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
377096801 | (05) | TX |