Provider Demographics
NPI:1720047806
Name:SHUAIB, TAWHID A (MD)
Entity type:Individual
Prefix:DR
First Name:TAWHID
Middle Name:A
Last Name:SHUAIB
Suffix:
Gender:M
Credentials:MD
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 4449
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4449
Mailing Address - Country:US
Mailing Address - Phone:956-362-8400
Mailing Address - Fax:956-362-3651
Practice Address - Street 1:1801 S 5TH ST STE 114
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-362-8400
Practice Address - Fax:956-362-3651
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9345207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119211401Medicaid
TX119211404Medicaid
TX119211404Medicaid
TX311826YUQGMedicare PIN
TX88G434OtherBLUE CROSS BLUE SHIELD