Provider Demographics
NPI:1033128665
Name:SHAKHASHIRO, AKRAM (MD)
Entity Type:Individual
Prefix:DR
First Name:AKRAM
Middle Name:
Last Name:SHAKHASHIRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 GESSNER RD
Mailing Address - Street 2:SUITE 785
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2575
Mailing Address - Country:US
Mailing Address - Phone:713-461-9194
Mailing Address - Fax:713-461-7899
Practice Address - Street 1:915 GESSNER RD
Practice Address - Street 2:SUITE 785
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2575
Practice Address - Country:US
Practice Address - Phone:713-461-9194
Practice Address - Fax:713-461-7899
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1742207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203918670OtherTAX ID
TX142466507Medicaid
TXL1742OtherLICENSE
TX8F2659Medicare ID - Type Unspecified
TX203918670OtherTAX ID