Memon, Imran Adam
Memon, Imran Adam is an individual health care provider with primary practice located at 1001 Pennsylvania Ave , Fort Worth TX 76104-2228. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Memon, Imran Adam can be contacted via phone (817) 877-5858.Contact Information
Primary practice address
1001 Pennsylvania Ave
Fort Worth TX 76104-2228
Phone: (817) 877-5858
Fax: (817) 335-4418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P1199 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301079766 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301079766 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | P1199 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 4301079766 | Michigan |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | P1199 | Texas |
Profile Details
| NPI number | 1952582157 |
|---|---|
| LBN Legal business name | Memon, Imran Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1952582157 | NPPES |
| Texas | Other | N0195877 | DPS |
| Texas | MEDICAID | 321658201 | DPS |
| Texas | Other | P1199 | DPS |
| Texas | Other | 2007004327 | DPS |
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