Provider Demographics
NPI:1922062181
Name:BISHAI, EMAD MIKHAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:EMAD
Middle Name:MIKHAIL
Last Name:BISHAI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:9200 PINECROFT DR
Mailing Address - Street 2:STE 455
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3279
Mailing Address - Country:US
Mailing Address - Phone:281-292-7246
Mailing Address - Fax:281-292-3996
Practice Address - Street 1:9200 PINECROFT DR
Practice Address - Street 2:STE 455
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-3279
Practice Address - Country:US
Practice Address - Phone:281-292-7246
Practice Address - Fax:281-292-3996
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7224208VP0000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX094010801OtherGROUP MEDICAID NUMBER
TX00J21AOtherGROUP MEDICARE NUMBER
TXTXB111380Medicare PIN