Maryam Shafaee | Houston, TX • PECOS Search

Maryam Shafaee

Internal Medicine

Allopathic & Osteopathic Physicians

1 Baylor Plz, Suit 331a, Houston, TX 77030-3411

PECOS Enrollment

Based on the most recent information from CMS, provider Maryam Shafaee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1386951572
Provider Type
Individual
Full Name
Shafaee, Maryam
Title
Dr.
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
9/9/2010
Last Updated
4/20/2017

Contact Information

Practice Location

1 Baylor Plz, Suit 331a, Houston, TX 77030-3411

Unlisted Fax

Mailing Location

1 Baylor Plz, Suit 331a, Houston, TX 77030-3411

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RH0003X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License Q9693 Texas