Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | K2176 | TX |
NPI | 1013910876 |
---|---|
Provider Name | Shahin Shirzadi |
First Address | Houston, TX 77074-4335 |
Second Address | Houston, TX 77074-4335 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 17/10/2007 |