Provider Demographics
NPI:1639565161
Name:SOHAIL, MAHVEEN
Entity Type:Individual
Prefix:
First Name:MAHVEEN
Middle Name:
Last Name:SOHAIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9688 FM 1960 BYPASS RD W
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4040
Mailing Address - Country:US
Mailing Address - Phone:281-318-2401
Mailing Address - Fax:833-749-0334
Practice Address - Street 1:9688 FM 1960 BYPASS RD W
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4040
Practice Address - Country:US
Practice Address - Phone:281-318-2401
Practice Address - Fax:833-749-0334
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3461207QG0300X, 207RG0300X
TXBP10052937207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine