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1952335101

NPI Code Detail

MEDICARE: DR. AMMAR B MORAD M.D.

MEDICARE: DR. AMMAR B MORAD 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	2080P0207X	Pediatric Hematology & Oncology Physician	35.140247	OH
2	2080P0207X	Pediatric Hematology & Oncology Physician	J3720	TX
3	2080P0207X	Pediatric Hematology & Oncology Physician	MD.201621	LA

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952335101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMMAR B MORAD M.D.

Provider Business Mailing Address
First Line	:	9835 N LAKE CREEK PKWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6210
Country	:	US
Telephone Number	:	737-229-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9835 N LAKE CREEK PKWY
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78717-6210
Country	:	US
Telephone Number	:	737-229-2000
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	02/01/2024

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Directions to “ DR. AMMAR B MORAD M.D.” Practice Location

Language	Start Address	Practice Location

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