Individual ProviderShafeeq NoorudeenInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4700 Alliance Blvd, Suite 400, Plano, TX 75093-5323(469) 814-2000PECOS EnrollmentBased on the most recent information from CMS, provider Shafeeq Noorudeen is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1477810091Provider TypeIndividualFull NameNoorudeen, ShafeeqTitleMr.GenderMaleSole ProprietorYesEnumeration Date4/20/2012Last Updated4/7/2022Contact InformationPractice LocationPractice Address4700 Alliance Blvd, Suite 400, Plano, TX 75093-5323Phone(469) 814-2000FaxUnlisted FaxMailing LocationMailing Address4700 Alliance Blvd, Suite 400, Plano, TX 75093-5323PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseQ2934TexasCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer