Provider Demographics
NPI:1740415447
Name:SHALABY, MOSTAFA HELMY AHMED MOHAMED (MD)
Entity Type:Individual
Prefix:
First Name:MOSTAFA
Middle Name:HELMY AHMED MOHAMED
Last Name:SHALABY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:301 UNIVERSITY BLVD 5.106 JSA
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0553
Mailing Address - Country:US
Mailing Address - Phone:409-772-1533
Mailing Address - Fax:409-772-4982
Practice Address - Street 1:301 UNIVERSITY BLVD 5.106 JSA
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0553
Practice Address - Country:US
Practice Address - Phone:409-772-1533
Practice Address - Fax:409-772-4982
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP10052127207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease