Ganim, Mazen Shukri
Ganim, Mazen Shukri is an individual health care provider with primary practice located at 18450 Highway 59 N , Humble TX 77338-4404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Ganim, Mazen Shukri can be contacted via phone (281) 446-6656.Contact Information
Primary practice address
18450 Highway 59 N
Humble TX 77338-4404
Phone: (281) 446-6656
Fax: (281) 446-6657
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | J3699 | Texas |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | J3699 | Texas |
Profile Details
| NPI number | 1740398577 |
|---|---|
| LBN Legal business name | Ganim, Mazen Shukri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Jan 29th, 2024 - about 11 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740398577 | NPPES |
| Texas | MEDICAID | 096790301 | |
| Texas | MEDICAID | 1740398577 |
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