Provider Demographics
NPI:1700889961
Name:SHALABY, MOHAMED L (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:L
Last Name:SHALABY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 58106
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8106
Mailing Address - Country:US
Mailing Address - Phone:281-332-1515
Mailing Address - Fax:281-332-2525
Practice Address - Street 1:290 E MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4319
Practice Address - Country:US
Practice Address - Phone:281-332-1515
Practice Address - Fax:281-332-2525
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8951207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1518096379OtherNPPES
TX8K2096Medicare PIN
TX1518096379OtherNPPES