Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 43571 | TN |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | N4217 | TX |
NPI | 1083880959 |
---|---|
Provider Name | Shiraz Ahmad Younas |
First Address | Houston, TX 77030-1501 |
Second Address | Houston, TX 77030-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 02/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
205414001 | (05) | TX |
8CC227 | BCBS (01) | TX |
Z99120 | (02) |