Provider Demographics
NPI:1174002307
Name:CENTER FOR ARTHRITIS AND RHEUMATIC DISEASES
Entity Type:Organization
Organization Name:CENTER FOR ARTHRITIS AND RHEUMATIC DISEASES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RHEUMATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUJAAT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:972-587-9557
Mailing Address - Street 1:5401 INDEPENDENCE PKWY APT 201
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5434
Mailing Address - Country:US
Mailing Address - Phone:248-495-3295
Mailing Address - Fax:
Practice Address - Street 1:3400 W FM 544 STE 650
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-9418
Practice Address - Country:US
Practice Address - Phone:972-587-9557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty