Active NPI
Omar Ahmad Shahin
- Student in an Organized Health Care Education/Training Program
- Houston, TX
National Provider Identifier
1932754322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- BP10066574
- Practice address
- 1515 Holcombe Blvd Unit 428
Houston, TX 77030-4028 - Phone
- (713) 792-7305
- NPI assigned
- Aug 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10066574 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd Unit 428
Houston, TX 77030-4028
Mailing address
2250 Holly Hall St Apt 190
Houston, TX 77054-3937
Phone (346) 420-0349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10066574 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564790400000",
"number": "1932754322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 HOLLY HALL ST APT 190",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770543937",
"telephone_number": "346-420-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD UNIT 428",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304028",
"telephone_number": "713-792-7305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHIN",
"first_name": "OMAR",
"middle_name": "AHMAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-03",
"last_updated": "2019-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10066574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.