Provider Demographics
NPI:1417211335
Name:AHMED, RABIA SHAHBAZ (DO)
Entity type:Individual
Prefix:
First Name:RABIA
Middle Name:SHAHBAZ
Last Name:AHMED
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1408 W NASA PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-1649
Mailing Address - Country:US
Mailing Address - Phone:832-412-7166
Mailing Address - Fax:512-713-0797
Practice Address - Street 1:1408 W NASA PKWY STE A
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-1649
Practice Address - Country:US
Practice Address - Phone:832-412-7166
Practice Address - Fax:512-713-0797
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10043643207V00000X
TXQ8816207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology