Provider Demographics
NPI:1518071620
Name:SHAHZAD, ARSALAN (MD)
Entity Type:Individual
Prefix:
First Name:ARSALAN
Middle Name:
Last Name:SHAHZAD
Suffix:
Gender:M
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:PO BOX 132469
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77393-2469
Mailing Address - Country:US
Mailing Address - Phone:281-290-0222
Mailing Address - Fax:281-290-0233
Practice Address - Street 1:929 GRAHAM DR STE B
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3338
Practice Address - Country:US
Practice Address - Phone:281-290-0222
Practice Address - Fax:281-290-0233
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4533207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB112752Medicare PIN
TXH90992Medicare UPIN