Basic Information
| Provider Information | |||||||||
| NPI: | 1669038881 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SMBSAIFEE HEALTHCARE PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 50 S BETHANY BEND CIR | ||||||||
| Address2: | |||||||||
| City: | SPRING | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773821388 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3126182152 | ||||||||
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| Practice Location | |||||||||
| Address1: | 123 VISION PARK BLVD | ||||||||
| Address2: | |||||||||
| City: | SHENANDOAH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773843001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813640317 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/13/2019 | ||||||||
| LastUpdateDate: | 07/24/2020 | ||||||||
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| AuthorizedOfficialLastName: | CHANDABHAI | ||||||||
| AuthorizedOfficialFirstName: | HUZEFA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3126182152 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 07/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.