Provider Demographics
NPI:1902022056
Name:SHAIKH, KHURRAM RAFI (MD)
Entity Type:Individual
Prefix:DR
First Name:KHURRAM
Middle Name:RAFI
Last Name:SHAIKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 MARONEAL ST
Mailing Address - Street 2:1716
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3242
Mailing Address - Country:US
Mailing Address - Phone:304-346-1969
Mailing Address - Fax:
Practice Address - Street 1:12301 S. MAIN ST.
Practice Address - Street 2:THE MENNINGER CLINIC
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035
Practice Address - Country:US
Practice Address - Phone:713-275-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN89842084P0800X
WV390200000X2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry