Provider Demographics
NPI:1710168380
Name:DURRANI, NEELOFER SHAH (MD)
Entity Type:Individual
Prefix:
First Name:NEELOFER
Middle Name:SHAH
Last Name:DURRANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1631 NORTH LOOP W
Mailing Address - Street 2:SUITE 490
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1528
Mailing Address - Country:US
Mailing Address - Phone:713-862-6169
Mailing Address - Fax:713-862-1003
Practice Address - Street 1:1631 NORTH LOOP W
Practice Address - Street 2:SUITE 490
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1528
Practice Address - Country:US
Practice Address - Phone:713-862-6169
Practice Address - Fax:713-862-1003
Is Sole Proprietor?:No
Enumeration Date:2007-11-23
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5222207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX124687802Medicaid
TX124687802Medicaid
TX8180MMedicare PIN