Provider Demographics
NPI:1639184005
Name:SHAHINIAN, HAROUTIOUN S (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROUTIOUN
Middle Name:S
Last Name:SHAHINIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7812 GATEWAY EAST
Mailing Address - Street 2:STE. 110
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915
Mailing Address - Country:US
Mailing Address - Phone:915-533-2888
Mailing Address - Fax:915-849-1220
Practice Address - Street 1:7812 GATEWAY EAST
Practice Address - Street 2:STE. 110
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915
Practice Address - Country:US
Practice Address - Phone:915-533-2888
Practice Address - Fax:915-849-1220
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ9804207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110752601Medicaid
TX8F8701Medicare PIN
TXF43497Medicare UPIN