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General NPI Number Information
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NPI Number | 1396607735
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Entity Type | Organization
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Legal Business Name | UTHEALTH
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Dates
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Enumeration Date | 11/24/2025
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 6431 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-7614
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Fax |
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Provider Business Mailing Address
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Address Line | 6431 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-7614
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. AMAL MOHAMED MOUSTAFA IBRAHIM I
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Credential | MD
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Telephone | 713-632-2976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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