Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | TEMP | TX |
NPI | 1083910186 |
---|---|
Provider Name | Sheikh Maqsood Elahi |
First Address | Dallas, TX 75284-7408 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2011 |
Last Update Date | 08/02/2011 |