Provider Demographics
NPI:1073255808
Name:SHABANI, MAHSIMA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MAHSIMA
Middle Name:
Last Name:SHABANI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3636 W DALLAS ST UNIT 458
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-1777
Mailing Address - Country:US
Mailing Address - Phone:408-533-3229
Mailing Address - Fax:
Practice Address - Street 1:6550 FANNIN ST STE 1801
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2744
Practice Address - Country:US
Practice Address - Phone:346-238-0115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program