Provider Demographics
NPI:1578597324
Name:SHALAN, NABEEL KAMAL (MD)
Entity Type:Individual
Prefix:DR
First Name:NABEEL
Middle Name:KAMAL
Last Name:SHALAN
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 1:5090 RICHMOND AVE # 494
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-7402
Mailing Address - Country:US
Mailing Address - Phone:832-444-4901
Mailing Address - Fax:
Practice Address - Street 1:16659 SOUTHWEST FWY STE 131
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2351
Practice Address - Country:US
Practice Address - Phone:281-276-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8504207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8X9510OtherBLUE CROSS BLUE SHIELD
TX198233201Medicaid
8F9381Medicare PIN
123489Medicare UPIN