Shafique, Imran
Shafique, Imran is an individual health care provider with primary practice located at 600 E Taylor St Suite 103, Sherman TX 75090-2881. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Shafique, Imran can be contacted via phone (903) 893-7170.Contact Information
Primary practice address
600 E Taylor St Suite 103
Sherman TX 75090-2881
Phone: (903) 893-7170
Fax: (903) 893-4372
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301087796 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301087796 | Michigan |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | P9456 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 30932 | Oklahoma |
Profile Details
| NPI number | 1326238593 |
|---|---|
| LBN Legal business name | Shafique, Imran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Oct 27th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326238593 | NPPES |
| Michigan | Other | 1102514562 | BCBSM INDIVIDUAL PIN |
| Michigan | MEDICAID | 1326238593 | BCBSM INDIVIDUAL PIN |
| Michigan | Other | P01474081 | BCBSM INDIVIDUAL PIN |
| Michigan | Other | OB56031 | BCBSM INDIVIDUAL PIN |
| Michigan | MEDICAID | 339185601 | BCBSM INDIVIDUAL PIN |
| Michigan | Other | P01474183 | BCBSM INDIVIDUAL PIN |
| Michigan | MEDICAID | 200579280A | BCBSM INDIVIDUAL PIN |
| Michigan | Other | OB56031 | BCBSM INDIVIDUAL PIN |
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