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General NPI Number Information
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NPI Number | 1932191426
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Entity Type | Individual
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Provider Name | MANAF G. AHMAD MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 15322 COPPER GROVE BLVD
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City | HOUSTON
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State | TX
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Zip | 77095-2293
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Country | US
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Telephone | 281-859-7596
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Fax | 281-859-0175
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Provider Business Mailing Address
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Address Line | 757 SOMERSET COMMONS LN
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City | HOUSTON
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State | TX
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Zip | 77055-1927
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Country | US
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Telephone | 337-380-4764
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Fax | 281-859-0175
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | K2395
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | K2395
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | K2395
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License Number State | TX
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