Ghanem, Fadi G
Ghanem, Fadi G is an individual health care provider with primary practice located at 1111 Medical Plaza Dr Suite 230, The Woodlands TX 77380-3477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ghanem, Fadi G can be contacted via phone (281) 419-1599.Contact Information
Primary practice address
1111 Medical Plaza Dr Suite 230
The Woodlands TX 77380-3477
Phone: (281) 419-1599
Fax: (281) 898-7632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | H8071 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | H8071 | Texas |
Profile Details
| NPI number | 1093700932 |
|---|---|
| LBN Legal business name | Ghanem, Fadi G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Dec 30th, 2014 - about 10 years 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 | 1093700932 | NPPES |
| Texas | Other | 139600417 | EPSDT |
| Texas | Other | 83900X | EPSDT |
| Texas | MEDICAID | 139600406 | EPSDT |
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