Provider Demographics
NPI:1700896610
Name:ARIF M. SHOAIB, M.D., P.A.
Entity type:Organization
Organization Name:ARIF M. SHOAIB, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHOAIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-660-8877
Mailing Address - Street 1:PO BOX 742704
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-2704
Mailing Address - Country:US
Mailing Address - Phone:713-660-8877
Mailing Address - Fax:713-660-9697
Practice Address - Street 1:5851 SAN FELIPE ST
Practice Address - Street 2:SUITE 425
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3076
Practice Address - Country:US
Practice Address - Phone:713-660-8877
Practice Address - Fax:713-660-9697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL41212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155298601Medicaid
TX8F2273Medicare PIN
TX155298601Medicaid