Provider Demographics
NPI:1356008726
Name:SHABBI, SHAIYAD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHAIYAD
Middle Name:
Last Name:SHABBI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10001 CUSTER RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-5134
Mailing Address - Country:US
Mailing Address - Phone:469-342-6810
Mailing Address - Fax:
Practice Address - Street 1:10001 CUSTER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-5134
Practice Address - Country:US
Practice Address - Phone:469-342-6810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-20
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist