MEDICARE: MOHAMMED ATTAR M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	E5344	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00CA15	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1780722371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED ATTAR M.D

Provider Business Mailing Address
First Line	:	6550 FANNIN ST STE 2123
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2709
Country	:	US
Telephone Number	:	713-790-3193
Fax Number	:	713-796-2558

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST STE 2123
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2709
Country	:	US
Telephone Number	:	713-790-3193
Fax Number	:	713-796-2558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2007
Last Update Date	:	12/02/2023

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