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General NPI Number Information
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NPI Number | 1326198813
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Entity Type | Organization
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Legal Business Name | JAMES ALEXANDER GHADIALLY MD PA
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10926 EAST FWY
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City | HOUSTON
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State | TX
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Zip | 77029-1912
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Country | US
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Telephone | 713-528-3901
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Fax | 713-528-4592
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Provider Business Mailing Address
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Address Line | 3262 WESTHEIMER RD SUITE 313
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City | HOUSTON
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State | TX
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Zip | 77098-1002
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Country | US
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Telephone | 713-528-3901
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Fax | 713-528-4592
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Authorized Official
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Title or Position | OWNER
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Name | JAMES ALEXANDER GHADIALLY
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Credential | M.D.
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Telephone | 713-528-3901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G6513
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License Number State | TX
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