Abdurrahim, Shehetaj G
Abdurrahim, Shehetaj G is an individual health care provider with primary practice located at 2701 Prince George Ave Ste 100 , Desoto TX 75115-2087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Abdurrahim, Shehetaj G can be contacted via phone (972) 634-8110.Contact Information
Primary practice address
2701 Prince George Ave Ste 100
Desoto TX 75115-2087
Phone: (972) 634-8110
Fax: (972) 634-8220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L3212 | Texas |
Profile Details
| NPI number | 1437188372 |
|---|---|
| LBN Legal business name | Abdurrahim, Shehetaj G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Jun 27th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437188372 | NPPES |
| Texas | MEDICAID | 160498503 | |
| Texas | MEDICAID | 160498502 | |
| Texas | MEDICAID | 160498501 |
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