Individual provider · NPI-1

Shamila Mauiyyedi, M.D.

Pathology, Anatomic Pathology & Clinical Pathology · Galveston, TX

NPI number1861446254

StatusActive

Last updated in NPPESMay 21, 2024

Details

NPI: 1861446254
Entity type: Individual (NPI-1)
Name: Shamila Mauiyyedi
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: May 20, 2006
Certification date: May 21, 2024
Last updated: May 21, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	L5458	TX	Yes
207ZP0105X	Pathology, Clinical Pathology/Laboratory Medicine	L5458	TX

Practice location

301 University Blvd
Galveston, TX 77555-5302

Phone 409-772-1011 · Fax 409-772-5683

Mailing address

6431 Fannin Street
Msb 2.136
Houston, TX 77030-1501

Phone 713-500-5301 · Fax 713-500-0695

Other practice locations

6431 Fannin Street
Msb 2.262
Houston, TX 77030-1501

Phone 713-704-4000 · Fax 713-704-2658

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