Islam, Shah Faizul

Islam, Shah Faizul is an individual health care provider with primary practice located at 1521 S Staples St Ste 601, Corpus Christi TX 78404-3154. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Islam, Shah Faizul can be contacted via phone (361) 887-8451.

Contact Information

Primary practice address
1521 S Staples St Ste 601 Corpus Christi TX 78404-3154
Phone: (361) 887-8451
Fax: (361) 887-6126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X K8227 Texas

Profile Details

NPI number 1841293727
LBN Legal business name Islam, Shah Faizul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Apr 22nd, 2020 - about 5 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841293727 NPPES
Texas MEDICAID 390006277

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