Provider Demographics
NPI:1265696991
Name:ONCOLOGY AND HEMATOLOGY CONSULTANTS OF HOUSTON PA
Entity type:Organization
Organization Name:ONCOLOGY AND HEMATOLOGY CONSULTANTS OF HOUSTON PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NABEEL
Authorized Official - Middle Name:KAMAL
Authorized Official - Last Name:SHALAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-981-1500
Mailing Address - Street 1:PO BOX 996
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-0996
Mailing Address - Country:US
Mailing Address - Phone:208-664-4026
Mailing Address - Fax:208-664-4840
Practice Address - Street 1:7500 BEECHNUT ST
Practice Address - Street 2:265
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4335
Practice Address - Country:US
Practice Address - Phone:713-981-1500
Practice Address - Fax:713-981-1504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8504207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX198233201Medicaid
TX198233201Medicaid
TX8F9381Medicare PIN