Provider Demographics
NPI:1558985515
Name:HEALTH GURU RX CORP
Entity Type:Organization
Organization Name:HEALTH GURU RX CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:SAJID
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-846-6002
Mailing Address - Street 1:107A EAST ST
Mailing Address - Street 2:
Mailing Address - City:HUTTO
Mailing Address - State:TX
Mailing Address - Zip Code:78634-4323
Mailing Address - Country:US
Mailing Address - Phone:512-846-6002
Mailing Address - Fax:512-846-9499
Practice Address - Street 1:107A EAST ST
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4323
Practice Address - Country:US
Practice Address - Phone:512-846-6002
Practice Address - Fax:512-846-9499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty