Provider Demographics
NPI:1932344785
Name:SHAHJAHAN, MUNIR (MD, MPH, DRPH)
Entity Type:Individual
Prefix:
First Name:MUNIR
Middle Name:
Last Name:SHAHJAHAN
Suffix:
Gender:M
Credentials:MD, MPH, DRPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 BUSINESS CENTER DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2737
Mailing Address - Country:US
Mailing Address - Phone:713-271-4133
Mailing Address - Fax:713-271-6885
Practice Address - Street 1:6565 FANNIN
Practice Address - Street 2:M227
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-441-3490
Practice Address - Fax:713-793-1603
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN5391207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology