Organization Active NPI

Id Clinic Consultants PLLC

  • Infectious Disease Physician
  • Richardson, TX
National Provider Identifier
1073060331
Registry record updated Sep 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
K9168 Issued in TX
Legal business name
ID CLINIC CONSULTANTS PLLC
Practice address
908 Audelia Rd
Ste 200 #323
Richardson, TX 75081-5166
Phone
(972) 947-3200
Fax
(972) 947-3201
NPI assigned
Sep 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Zakir Hussain A Shaikh, MD
Title
Director
Phone
(972) 947-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X K9168 TX Primary

Addresses

Primary practice location

908 Audelia Rd
Ste 200 #323
Richardson, TX 75081-5166

Mailing address

908 Audelia Rd
Ste 200 #323
Richardson, TX 75081-5166
Phone (972) 947-3200

National Provider Directory

National Provider Directory

Locations

908 Audelia Rd
Ste 200
Richardson, TX 75081
Phone (214) 566-5477

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472947200000",
    "number": "1073060331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 AUDELIA RD",
            "address_2": "STE 200 #323",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815166",
            "telephone_number": "972-947-3200",
            "fax_number": "972-947-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 AUDELIA RD",
            "address_2": "STE 200 #323",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815166",
            "telephone_number": "972-947-3200",
            "fax_number": "972-947-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID CLINIC CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-04",
        "last_updated": "2016-09-04",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "ZAKIR HUSSAIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-947-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "K9168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.