Provider Demographics
NPI:1962411884
Name:DHANANI, SHIRAZ P (MD)
Entity type:Individual
Prefix:DR
First Name:SHIRAZ
Middle Name:P
Last Name:DHANANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1140 BUSINESS CENTER DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2737
Mailing Address - Country:US
Mailing Address - Phone:713-973-7445
Mailing Address - Fax:713-973-9565
Practice Address - Street 1:1140 BUSINESS CENTER DR
Practice Address - Street 2:SUITE 500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2737
Practice Address - Country:US
Practice Address - Phone:713-973-7445
Practice Address - Fax:713-973-9565
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2011-02-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG2356207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AJ829OtherBLUE CROSS BLUE SHIELD
TX035804601Medicaid
TX8D3900Medicare PIN
TX035804601Medicaid