Provider Demographics
NPI:1639178999
Name:SHIHAB, ZUHAIR MOHAMMOD (MD)
Entity Type:Individual
Prefix:
First Name:ZUHAIR
Middle Name:MOHAMMOD
Last Name:SHIHAB
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 1:5109 80TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-3017
Mailing Address - Country:US
Mailing Address - Phone:806-792-5900
Mailing Address - Fax:806-792-6092
Practice Address - Street 1:3611 50TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79413-3911
Practice Address - Country:US
Practice Address - Phone:806-792-5900
Practice Address - Fax:806-792-6092
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2845207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174103503Medicaid
TXY30806Medicare UPIN
TX180005726OtherRAILROAD MEDICARE
TX123895100OtherFIRST CARE
NM00V4007Medicaid
B26405Medicare UPIN