Provider Demographics
NPI:1659319812
Name:BAY AREA INFECTIOUS DISEASES ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:BAY AREA INFECTIOUS DISEASES ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEBIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-991-7999
Mailing Address - Street 1:6319 FAIRMONT PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-4245
Mailing Address - Country:US
Mailing Address - Phone:281-991-7999
Mailing Address - Fax:281-991-7557
Practice Address - Street 1:6319 FAIRMONT PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-4245
Practice Address - Country:US
Practice Address - Phone:281-991-7999
Practice Address - Fax:281-991-7557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1672174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00604KMedicare ID - Type Unspecified