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General NPI Number Information
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NPI Number | 1346381365
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Entity Type | Individual
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Provider Name | MARYAM KHAWARI MD
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Gender | Female
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 777 S FRY RD STE 208
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City | KATY
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State | TX
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Zip | 77450-2297
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Country | US
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Telephone | 281-652-5943
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Fax | 281-652-5944
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Provider Business Mailing Address
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Address Line | 11569 S HIGHWAY 6 PMB 197
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City | SUGAR LAND
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State | TX
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Zip | 77498-4932
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Country | US
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Telephone | 281-652-5943
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Fax | 281-652-5944
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 47166
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | S9724
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License Number State | TX
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