Jawdat, Imtihan M
Jawdat, Imtihan M is an sole proprietor health care provider with primary practice located at 8901 Fm 1960 Bypass Rd W Ste. 304, Humble TX 77338-4018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jawdat, Imtihan M can be contacted via phone (713) 759-9901.Contact Information
Primary practice address
8901 Fm 1960 Bypass Rd W Ste. 304
Humble TX 77338-4018
Phone: (713) 759-9901
Fax: (281) 501-2927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G9602 | Texas |
Profile Details
| NPI number | 1598791113 |
|---|---|
| LBN Legal business name | Jawdat, Imtihan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1598791113 | NPPES |
| Texas | Other | G9602 | TEXAS STATE LICENSE |
| Texas | Other | 30068526 | TEXAS STATE LICENSE |
| Texas | MEDICAID | 080242301 | TEXAS STATE LICENSE |
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