Ihsan Fahmi Shanti, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

K4562 Issued in TX

Practice address

5611 Bellaire Blvd # 100
Houston, TX 77081-5617

Phone

(713) 339-1566

Fax

(713) 465-5965

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609872928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N BRAESWOOD BLVD # 376",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770963307",
            "telephone_number": "713-339-1566",
            "fax_number": "713-339-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 BELLAIRE BLVD # 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815617",
            "telephone_number": "713-339-1566",
            "fax_number": "713-465-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTI",
        "first_name": "IHSAN",
        "middle_name": "FAHMI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K4562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Shannon
• Sheldon Shannon
• Vickie R. Shannon, M.D.
• Elizabeth Ashley Shantharaj
• Shanti Pain & Wellness Clinic
• Dixie Shanu, NP
• Breslyn Shapiro
• Daniel D Shapiro, MD
• Douglas Alan Shapiro, MD
• Hilary Shapiro, SLP-CFY

• Anesthesiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.