Provider Demographics
NPI:1982327219
Name:SHABBIR, FATEMAH (MED)
Entity Type:Individual
Prefix:
First Name:FATEMAH
Middle Name:
Last Name:SHABBIR
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 18642
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8642
Mailing Address - Country:US
Mailing Address - Phone:201-874-2950
Mailing Address - Fax:
Practice Address - Street 1:627 W 19TH ST STE 203
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3698
Practice Address - Country:US
Practice Address - Phone:832-387-5735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89827101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional