DR. ZOHRA SHAD MD NPI 1962602904

NPI Information

NPI: 1962602904
Provider Name: DR. ZOHRA SHAD, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
2459 E HEBRON PKWY STE 100
CARROLLTON, TX
ZIP 75010
Phone: (972) 757-0345
Get Directions

DR. Zohra Shad, MD is a clinical genetics (m.d.) medical genetics in Carrollton, TX. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Zohra Shad, MD NPI is 1962602904. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2459 E HEBRON PKWY STE 100
CARROLLTON, TX
ZIP 75010-477
Phone: (972) 757-0345
Fax: (972) 767-0335

The NPI 1962602904 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 9/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	35099265	OHIO	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	036133413	ILLINOIS	No
3	208000000X	Pediatrics		S0084	TEXAS	No
4	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	S0084	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	393055407	MEDICAID	TEXAS
2	393055403	MEDICAID	TEXAS
3	393055401	MEDICAID	TEXAS
4	440164701	OTHER	ARKANSAS	AR MEDICAID TEMP RX #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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