Provider Demographics
NPI:1235163403
Name:ZAHIRUDDIN, SHAUKATH (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAUKATH
Middle Name:
Last Name:ZAHIRUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28465 STATE HIGHWAY 249
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3307
Mailing Address - Country:US
Mailing Address - Phone:281-351-8249
Mailing Address - Fax:281-351-6606
Practice Address - Street 1:28465 STATE HIGHWAY 249
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3307
Practice Address - Country:US
Practice Address - Phone:281-351-8249
Practice Address - Fax:281-351-6606
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0319207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
88J826OtherBCBS
88J861OtherBCBS
RW04OtherBCBS
C23898Medicare UPIN
8G8383Medicare PIN
88J861OtherBCBS
RW04OtherBCBS