Provider Demographics
NPI:1407838394
Name:SHOAIB, ARIF M (MD)
Entity Type:Individual
Prefix:
First Name:ARIF
Middle Name:M
Last Name:SHOAIB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 742704
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-2704
Mailing Address - Country:US
Mailing Address - Phone:713-660-8877
Mailing Address - Fax:713-660-9697
Practice Address - Street 1:5851 SAN FELIPE ST
Practice Address - Street 2:425
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3076
Practice Address - Country:US
Practice Address - Phone:713-660-8877
Practice Address - Fax:713-660-9697
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL41212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155298601Medicaid
TX155298601Medicaid
TXH64366Medicare UPIN