Provider Demographics
NPI:1033299623
Name:JIMENEZ-SHAHED, JOOHI (MD)
Entity Type:Individual
Prefix:DR
First Name:JOOHI
Middle Name:
Last Name:JIMENEZ-SHAHED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOOHI
Other - Middle Name:
Other - Last Name:SHAHED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 4850
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4850
Mailing Address - Country:US
Mailing Address - Phone:713-798-5995
Mailing Address - Fax:713-798-1898
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1801
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-798-5975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL94732084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175575301Medicaid
TX175575303Medicaid
TXI23870Medicare UPIN
8D1069Medicare PIN
8D8788Medicare PIN
TXP00317125Medicare PIN
TXTXB110410Medicare PIN
TX175575303Medicaid