Provider Demographics
NPI:1336135334
Name:KARIM, SHAHNAZ A (MD)
Entity Type:Individual
Prefix:
First Name:SHAHNAZ
Middle Name:A
Last Name:KARIM
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 1:10019 S MAIN ST
Mailing Address - Street 2:MAIN MEDICAL PLAZA, SUITE A-1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5256
Mailing Address - Country:US
Mailing Address - Phone:713-668-6000
Mailing Address - Fax:713-668-6248
Practice Address - Street 1:10019 S MAIN ST
Practice Address - Street 2:MAIN MEDICAL PLAZA, SUITE A-1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5256
Practice Address - Country:US
Practice Address - Phone:713-668-6000
Practice Address - Fax:713-668-6248
Is Sole Proprietor?:No
Enumeration Date:2005-09-25
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8774208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX045626101Medicaid
TX045626101Medicaid
TX8753J1Medicare PIN