Provider Demographics
NPI:1033147517
Name:SAMI, SHEHZAD (MD)
Entity Type:Individual
Prefix:
First Name:SHEHZAD
Middle Name:
Last Name:SAMI
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 1:3411 GARTH RD
Mailing Address - Street 2:SUITE 228
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3851
Mailing Address - Country:US
Mailing Address - Phone:281-839-7949
Mailing Address - Fax:281-839-7924
Practice Address - Street 1:6051 GARTH RD
Practice Address - Street 2:SUITE 300
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9890
Practice Address - Country:US
Practice Address - Phone:281-839-7949
Practice Address - Fax:281-839-7924
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226624207R00000X
TXM7590207RC0000X, 207UN0901X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX266835ZX0FOtherBCBSTX - 8GR057
TX266835ZX0FOtherBCBSTX - 8GR057
TX266835ZX0FMedicare PIN