Provider Demographics
NPI:1023421401
Name:SHAH, HALIE P (MD)
Entity type:Individual
Prefix:
First Name:HALIE
Middle Name:P
Last Name:SHAH
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 1:1900 NORTH LOOP W STE 580
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8163
Mailing Address - Country:US
Mailing Address - Phone:713-714-5376
Mailing Address - Fax:713-325-0759
Practice Address - Street 1:1900 NORTH LOOP W STE 580
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8163
Practice Address - Country:US
Practice Address - Phone:713-714-5376
Practice Address - Fax:713-325-0759
Is Sole Proprietor?:No
Enumeration Date:2014-06-03
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2015207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine