Provider Demographics
NPI:1851826077
Name:KABIR, SHAMARUKH (MCMSC PA-C)
Entity Type:Individual
Prefix:MISS
First Name:SHAMARUKH
Middle Name:
Last Name:KABIR
Suffix:
Gender:F
Credentials:MCMSC PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:7877 WILLOW CHASE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5934
Mailing Address - Country:US
Mailing Address - Phone:832-869-4818
Mailing Address - Fax:832-869-4853
Practice Address - Street 1:7877 WILLOW CHASE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5934
Practice Address - Country:US
Practice Address - Phone:832-869-4818
Practice Address - Fax:832-869-4853
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9110270363A00000X
TXPA15717363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant