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NPI Code Detail

MEDICARE: DR. LINA AHMAD GHORY M.D.

MEDICARE:  DR. LINA AHMAD GHORY  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
1207R00000XInternal Medicine Physician35129KY

General Provider Information

NPI Number : 1891807426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINA AHMAD GHORY M.D.
Provider Business Mailing Address
First Line : 4500 S. LANCASTER RD
Second Line : VA NORTH TEXAS HEALTH CARE SYSTEM
City : DALLAS
State : TX
Zip : 75216
Country : US
Telephone Number : 180-084-9359
Fax Number :
Provider Business Practice Location Address
First Line : 4500 S LANCASTER RD
Second Line : CLINIC 11
City : DALLAS
State : TX
Zip : 75216-7167
Country : US
Telephone Number : 180-084-9359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 05/12/2026

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