Provider Demographics
NPI:1528049590
Name:SHAYEB, JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:SHAYEB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:701 WEST 5TH STREET
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE, SUITE 3106
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79763
Mailing Address - Country:US
Mailing Address - Phone:432-703-4350
Mailing Address - Fax:432-335-5297
Practice Address - Street 1:701 WEST 5TH STREET
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE, SUITE 3106
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79763
Practice Address - Country:US
Practice Address - Phone:432-703-4350
Practice Address - Fax:432-335-5297
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ3604207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S7060OtherBCBS
TXP00292446OtherRAILROAD MEDICARE
TX100252105OtherFIRST CARE
TX131887509Medicaid