Provider Demographics
NPI:1386172716
Name:BOZORGUI, SHIMA (MD, MPH)
Entity type:Individual
Prefix:
First Name:SHIMA
Middle Name:
Last Name:BOZORGUI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23960 KATY FWY STE 380
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0893
Mailing Address - Country:US
Mailing Address - Phone:281-500-6366
Mailing Address - Fax:
Practice Address - Street 1:23960 KATY FWY STE 380
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0893
Practice Address - Country:US
Practice Address - Phone:281-500-6366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT71702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology